Good Samaritan Society De Smet

411 Calumet Avenue Nw · De Smet, SD · 57231 · 6058543327

46 certified beds Non profit - Corporation Chain: Good Samaritan Society

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • 4 citations involved actual harm to residents.

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Red flags

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

67% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 43
Serious harm & abuse 20% 66
Staffing 20% 65
Federal penalties 15% 56
Trend 10% 42
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.413.48 min · 4.1 strong
RN hours / resident-day0.980.55–0.75
Weekend hours / resident-day2.85≈ weekday level
Nursing turnover / year67%median 45%
Fines (3-yr window)2 · $37,327

Inspection citations (17 in the current record)

  • Actual harm · G October 23, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 20, 2025 · Quality of Life and Care

  • Actual harm · G October 23, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 20, 2025 · Quality of Life and Care

  • Potential for harm · D October 23, 2025 · found via complaint

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected November 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 22, 2025

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected June 27, 2025 · Resident Rights

  • Potential for harm · E May 22, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected June 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 22, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected June 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 22, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected June 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 22, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 27, 2025 · Quality of Life and Care

  • Potential for harm · E May 22, 2025

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected June 27, 2025 · Pharmacy Service

  • Potential for harm · F May 22, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 27, 2025 · Nutrition and Dietary

  • Potential for harm · D May 22, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 27, 2025 · Infection Control

  • Actual harm · G January 2, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 28, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G January 2, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected January 28, 2025 · Quality of Life and Care

  • Potential for harm · D January 2, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected January 28, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 11, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E January 11, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 20, 2024 · Nutrition and Dietary

  • Potential for harm · E January 11, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 20, 2024 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
October 23, 2025Fine$26,680
January 2, 2025Fine$10,647

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435074 · certified since March 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.