Good Samaritan Society Sioux Falls Village
3901 S Marion Rd · Sioux Falls, SD · 57106 · 6053613311
177 certified beds Non profit - Corporation Chain: Good Samaritan Society
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $31,614 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.68 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 3.45 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 5 · $72,812 |
Inspection citations (43 in the current record)
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Immediate jeopardy · J April 24, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · E April 24, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 20, 2025 · Resident Rights
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Potential for harm · E April 24, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 20, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 24, 2025
Provide activities to meet all resident's needs.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · E April 24, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · E April 24, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 20, 2025 · Nursing and Physician Services
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Potential for harm · E April 24, 2025
Observe each nurse aide's job performance and give regular training.
Corrected May 20, 2025 · Nursing and Physician Services
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Potential for harm · D April 24, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected May 20, 2025 · Pharmacy Service
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Potential for harm · E April 24, 2025
Provide and implement an infection prevention and control program.
Corrected May 20, 2025 · Infection Control
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Potential for harm · D April 24, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected May 20, 2025 · Environmental
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Potential for harm · D April 24, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 20, 2025 · Nursing and Physician Services
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Actual harm · G November 14, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 1, 2024 · Quality of Life and Care
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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 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J June 4, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 28, 2024 · Quality of Life and Care
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Potential for harm · D June 4, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 28, 2024 · Resident Assessment and Care Planning
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Actual harm · G December 7, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 4, 2024 · Quality of Life and Care
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Potential for harm · D December 7, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 4, 2024 · Resident Rights
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Potential for harm · D December 7, 2023
Keep residents' personal and medical records private and confidential.
Corrected January 4, 2024 · Resident Rights
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Potential for harm · F December 7, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 4, 2024 · Nursing and Physician Services
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Potential for harm · E December 7, 2023
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected January 4, 2024 · Quality of Life and Care
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Potential for harm · D December 7, 2023
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 January 4, 2024 · Pharmacy Service
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Potential for harm · F December 7, 2023
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected January 4, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 24, 2025 | Fine | $14,472 |
| November 14, 2024 | Fine | $7,718 |
| September 19, 2024 | Fine | $9,424 |
| June 4, 2024 | Fine | $22,055 |
| December 7, 2023 | Fine | $19,143 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435045 · certified since July 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.