Good Samaritan Society Miller

421 East 4th St · Miller, SD · 57362 · 6058532701

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

Why this verdict

  • Federal penalties on record: $96,127 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

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

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.

$96,127 in federal fines in the last 24 months

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

77% 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% 64
Federal penalties 15% 48
Trend 10% 84
Context 5% 100

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.643.48 min · 4.1 strong
RN hours / resident-day0.750.55–0.75
Weekend hours / resident-day3.09≈ weekday level
Nursing turnover / year77%median 45%
Fines (3-yr window)2 · $96,127

Inspection citations (22 in the current record)

  • Actual harm · G February 20, 2026 · found via complaint

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

    Corrected March 24, 2026 · Quality of Life and Care

  • Potential for harm · D February 20, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected March 24, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 20, 2026

    Assess the resident when there is a significant change in condition

    Corrected March 24, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 20, 2026

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

    Corrected March 24, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 20, 2026

    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 24, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 20, 2026

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

    Corrected March 24, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 20, 2026

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

    Corrected March 24, 2026 · Quality of Life and Care

  • Potential for harm · D February 20, 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 March 24, 2026 · Pharmacy Service

  • Potential for harm · E February 20, 2026 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 24, 2026 · Pharmacy Service

  • Immediate jeopardy · J September 19, 2024

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

    Corrected October 18, 2024 · Nutrition and Dietary

  • Actual harm · G September 19, 2024 · found via complaint

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

    Corrected October 18, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G September 19, 2024 · found via complaint

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

    Corrected October 18, 2024 · Quality of Life and Care

  • Potential for harm · D September 19, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected October 18, 2024 · Resident Rights

  • Potential for harm · D September 19, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected October 18, 2024 · Resident Rights

  • Potential for harm · D September 19, 2024

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected October 18, 2024 · Resident Rights

  • Potential for harm · D September 19, 2024

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

    Corrected October 18, 2024 · Quality of Life and Care

  • Potential for harm · F September 19, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 18, 2024 · Infection Control

  • Potential for harm · F September 19, 2024

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected October 18, 2024 · Infection Control

  • Potential for harm · E September 19, 2024 · found via complaint

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected October 18, 2024 · Resident Rights

  • Potential for harm · E September 19, 2024 · 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 October 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F September 19, 2024 · found via complaint

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected October 18, 2024 · Administration

  • Potential for harm · F September 19, 2024 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected October 18, 2024 · Environmental

Federal penalties

DateTypeAmount / length
February 20, 2026Fine$75,645
September 19, 2024Fine$20,482

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435124 · certified since May 1, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.