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Good Samaritan Society - Omaha Metro Home Care

(402) 399-170012875 Deauville Drive, Omaha, NE 68137
CMS Certification Number 287072 · Non-Profit · Medicare-certified since 09/09/1992
4deficiencies since 2018
0serious
3inspections
3.5CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2024-09-11

· Recertification · 2 deficiencies · CMS source report (PDF)
Minor Plan Of Care Must Include The Following

The agency failed to include complete Negative Pressure Wound Therapy (NPWT or wound vac) (a type of wound therapy, that uses negative pressure suction to help heal wounds) orders on the initial Plan of Care and/or failed to verify complete wound vac care orders, to include on the initial Plan of…

Source: CMS Form 2567, inspection 2024-09-11, tag G0574 · view on CMS
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Minor All Orders Recorded In Plan Of Care

Findings are: Based on record review, policy and procedure review, and staff interview, the agency failed to verify and include complete Negative Pressure Wound Therapy (NPWT or wound vac) (a type of wound therapy that uses negative pressure suction to help heal wounds) orders on the revised Plan…

Source: CMS Form 2567, inspection 2024-09-11, tag G0576 · view on CMS
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Inspection 2024-01-18

· Recertification · 2 deficiencies · CMS source report (PDF)
Minor Only As Ordered By A Physician

The agency failed to ensure staff administer treatments as ordered on the plan of care for 1 of 7 clinical records reviewed (Patient 2).

Source: CMS Form 2567, inspection 2024-01-18, tag G0580 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The agency failed to promptly notify the physician to request a change in treatment orders, when changes in a patient’s skin integrity were identified during the assessment of 1 of 2 patients (Patient 2), who received wound care.

Source: CMS Form 2567, inspection 2024-01-18, tag G0590 · view on CMS
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Inspection 2018-03-07

· Recertification · no deficiencies cited · CMS source report (PDF)