Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

GOOD SAMARITAN SOCIETY - INVER GROVE HEIGHTS

INVER GROVE HEIGHTS, MN · 46 certified beds · Last Life Safety survey February 19, 2026

CMS Certification Number 245285 · first certified August 1985

Ownership

Operated by GOOD SAMARITAN SOCIETY · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

21
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within MN

21 citations — more than 84% of the 338 certified nursing homes in MN. Compared within MN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 9. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was February 2026. Facilities in MN are typically surveyed 11–14 months after the last one (median 13), measured over 613 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 21 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 21 Life Safety citations above. The Physical Environment Index

  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MN, and nationally. Surveyors differ markedly between states, so the MN figure is the meaningful one.

This facility21MN median12National median11
Citations on file over three years, compared
MeasureCitations
This facility21
Median facility in MN12
Median facility nationally11

Survey history

Citations at each Life Safety survey
132023-1052024-1232026-02
Citations at each Life Safety survey
Survey dateCitations
October 5, 202313
December 12, 20245
February 19, 20263

Most-cited tags

Most-cited tags at this facility
K-03532K-03452K-05212K-09182E-00371K-07121E-00251K-03541
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-12-12
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-12-12
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22024-12-12
K-0918Have generator or other power source capable of supplying service within 10 seconds.22026-02-19
E-0037Establish staff and initial training requirements.12023-10-05
K-0712Have simulated fire drills held at unexpected times.12024-12-12
E-0025Create arrangements with other facilities to receive patients.12023-10-05
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.12026-02-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Emergency Preparedness Deficiencies 4
  • Services Deficiencies 3
  • Egress Deficiencies 2
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Emergency Preparedness Deficiencies4
Services Deficiencies3
Egress Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Electrical Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 19, 2026 — 3 citations

Citations issued on February 19, 2026
TagWhat the surveyor checksStatus
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (March 30, 2026)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (March 30, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 30, 2026)

December 12, 2024 — 5 citations

Citations issued on December 12, 2024
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 14, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 14, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 14, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (January 14, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 14, 2025)

October 5, 2023 — 13 citations

Citations issued on October 5, 2023
TagWhat the surveyor checksStatus
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (October 27, 2023)
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (October 27, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (October 27, 2023)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (October 27, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (October 27, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (October 27, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (October 27, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 27, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 27, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 27, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (October 27, 2023)
K-0901Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.Deficient, Provider has date of correction (October 27, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 27, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.