Good Samaritan Society - Windom
705 Sixth Street · Windom, MN · 56101 · 5078311788
63 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: $194,680 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
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.
$194,680 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
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: 2 of 5
| Total nurse hours / resident-day | 3.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 1 · $194,680 |
Inspection citations (35 in the current record)
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Potential for harm · D February 12, 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 March 18, 2026 · Resident Rights
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Potential for harm · E February 12, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 18, 2026 · Resident Rights
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Potential for harm · D February 12, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 12, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 18, 2026 · Resident Rights
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Potential for harm · D February 12, 2026
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected March 18, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 18, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 18, 2026 · Quality of Life and Care
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Potential for harm · D February 12, 2026
Assist a resident in gaining access to vision and hearing services.
Corrected March 18, 2026 · Quality of Life and Care
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Potential for harm · D February 12, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 18, 2026 · Quality of Life and Care
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Potential for harm · D February 12, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 18, 2026 · Pharmacy Service
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Potential for harm · D February 12, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 18, 2026 · Pharmacy Service
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Potential for harm · D February 12, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 18, 2026 · Pharmacy Service
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Potential for harm · F February 12, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected March 18, 2026 · Administration
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Potential for harm · F February 12, 2026
Provide and implement an infection prevention and control program.
Corrected March 18, 2026 · Infection Control
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Potential for harm · E February 12, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 12, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K January 27, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 25, 2026 · Quality of Life and Care
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Potential for harm · D January 27, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 25, 2026 · Resident Rights
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Potential for harm · D January 27, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 25, 2026 · Resident Rights
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Potential for harm · E January 27, 2026 · 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 February 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 27, 2026 · found via complaint
Provide or obtain dental services for each resident.
Corrected February 25, 2026 · Quality of Life and Care
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Potential for harm · D January 27, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 25, 2026 · Infection Control
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Potential for harm · D December 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 17, 2025 · Resident Rights
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Potential for harm · D December 11, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected January 17, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2024
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 January 17, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 27, 2026 | Fine | $194,680 |
| January 27, 2026 | Payment Denial | 20 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245558 · certified since May 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.