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

GOOD SAMARITAN SOCIETY - PARK RIVER

PARK RIVER, ND · 44 certified beds · Last Life Safety survey August 21, 2025

CMS Certification Number 355089 · first certified January 1984

Ownership

Operated by GOOD SAMARITAN SOCIETY · Non profit - Corporation

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

11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within ND

11 citations — more than 92% of the 72 certified nursing homes in ND. Compared within ND 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

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

The latest survey found 7 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to October 2026. This facility’s last Life Safety survey was August 2025. Facilities in ND are typically surveyed 12–14 months after the last one (median 13), measured over 116 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

1 inspection-and-testing tag has 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.

Physical environment (health survey)

7 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 11 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • 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 ND, and nationally. Surveyors differ markedly between states, so the ND figure is the meaningful one.

This facility11ND median2National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in ND2
Median facility nationally11

Survey history

Citations at each Life Safety survey
12023-0632024-0772025-08
Citations at each Life Safety survey
Survey dateCitations
June 8, 20231
July 11, 20243
August 21, 20257

Most-cited tags

Most-cited tags at this facility
K-03242K-03451K-03551K-05211K-02111K-07611K-03471K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0324Provide properly protected cooking facilities.22025-08-21
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-08-21
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12025-08-21
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12025-08-21
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-06-08
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12025-08-21
K-0347Properly provide smoke detection systems in areas open to corridors.12024-07-11
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-08-21

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Miscellaneous Deficiencies 2
  • Services Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Miscellaneous Deficiencies2
Services Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1

Every citation on file

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

August 21, 2025 — 7 citations

Citations issued on August 21, 2025
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 29, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 12, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 5, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (September 12, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 16, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (September 12, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 29, 2025)

July 11, 2024 — 3 citations

Citations issued on July 11, 2024
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 25, 2024)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (August 30, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (July 25, 2024)

June 8, 2023 — 1 citation

Citations issued on June 8, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 19, 2023)

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