Good Samaritan Society - Larimore

501 E Front St · Larimore, ND · 58251 · 7013436244

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

Why this verdict

  • On the federal Special Focus list of the most persistently poor performers.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $119,935 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

Special Focus Facility

CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

2 actual-harm citations in the most recent cycle

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

$119,935 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Total nurse staffing below 3.0 hours per resident-day

2.84 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

72% 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 34
Serious harm & abuse 20% 82
Staffing 20% 52
Federal penalties 15% 46
Trend 10% 77
Context 5% 0

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

CMS ratings & staffing

Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated

Total nurse hours / resident-day2.843.48 min · 4.1 strong
RN hours / resident-day0.690.55–0.75
Weekend hours / resident-day2.57≈ weekday level
Nursing turnover / year72%median 45%
Fines (3-yr window)2 · $119,935

Inspection citations (48 in the current record)

  • Potential for harm · D March 18, 2026

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected April 22, 2026 · Resident Rights

  • Potential for harm · E March 18, 2026

    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 April 22, 2026 · Resident Rights

  • Potential for harm · D March 18, 2026

    Keep residents' personal and medical records private and confidential.

    Corrected April 22, 2026 · Resident Rights

  • Potential for harm · D March 18, 2026

    Ensure each resident receives an accurate assessment.

    Corrected April 22, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 18, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 22, 2026 · Quality of Life and Care

  • Potential for harm · D March 18, 2026

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

    Corrected April 22, 2026 · Quality of Life and Care

  • Potential for harm · D March 18, 2026

    Post nurse staffing information every day.

    Corrected April 22, 2026 · Nursing and Physician Services

  • Potential for harm · D March 18, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected April 22, 2026 · Pharmacy Service

  • Potential for harm · D March 18, 2026

    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 April 22, 2026 · Pharmacy Service

  • Potential for harm · E March 18, 2026

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected April 22, 2026 · Nutrition and Dietary

  • Potential for harm · D March 18, 2026

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

    Corrected April 22, 2026 · Nutrition and Dietary

  • Potential for harm · D March 18, 2026

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected April 22, 2026 · Administration

  • Potential for harm · D March 18, 2026

    Provide and implement an infection prevention and control program.

    Corrected April 22, 2026 · Infection Control

  • Potential for harm · D March 18, 2026 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected April 22, 2026 · Resident Rights

  • Potential for harm · D March 18, 2026 · found via complaint

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected April 22, 2026 · Resident Rights

  • Potential for harm · E March 18, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 22, 2026 · Quality of Life and Care

  • Actual harm · G November 5, 2025 · found via complaint

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

    Corrected January 9, 2026 · Quality of Life and Care

  • Actual harm · G July 9, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 7, 2025 · Quality of Life and Care

  • Potential for harm · D February 13, 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 March 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 13, 2025 · found via complaint

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

    Corrected March 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 13, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected March 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 13, 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 March 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E February 13, 2025 · found via complaint

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

    Corrected March 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 13, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · D February 13, 2025 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected March 15, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 5, 2025Fine$110,825
July 9, 2025Fine$9,110

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 355097 · certified since January 2, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.