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

GOOD SAMARITAN SOCIETY - ST MARTIN VILLAGE

RAPID CITY, SD · 60 certified beds · Last Life Safety survey July 30, 2026

CMS Certification Number 435134 · first certified December 2017

Ownership

Operated by GOOD SAMARITAN SOCIETY · Non profit - Corporation

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

8
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within SD

8 citations — more than 84% of the 96 certified nursing homes in SD. Compared within SD 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 CMS's current file.

The latest survey found 0 citations; the earlier surveys on file averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2027 — about 11 months from now. This facility’s last Life Safety survey was July 2026. Facilities in SD are typically surveyed 14–16 months after the last one (median 16), measured over 152 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 about three years in Virginia. How the window is measured

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Which alerts

Emergency preparedness

3 of the 8 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)

4 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 8 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations in CMS's current file

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

This facility8SD median3National median11
Citations in CMS's current file, compared
MeasureCitations
This facility8
Median facility in SD3
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-1122025-0302026-07
Citations at each Life Safety survey
Survey dateCitations
November 2, 20236
March 27, 20252
July 30, 20260

Most-cited tags

Most-cited tags at this facility
K-03631K-09181K-03531K-07121K-03211E-00391E-00061E-00041
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.12023-11-02
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-11-02
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-03-27
K-0712Have simulated fire drills held at unexpected times.12025-03-27
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-11-02
E-0039Conduct testing and exercise requirements.12023-11-02
E-0006Conduct risk assessment and an All-Hazards approach.12023-11-02
E-0004Develop and maintain an Emergency Preparedness Program (EP).12023-11-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Emergency Preparedness Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Emergency Preparedness Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

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

March 27, 2025 — 2 citations

Citations issued on March 27, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has plan of correction (May 5, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has plan of correction (May 5, 2025)

November 2, 2023 — 6 citations

Citations issued on November 2, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (November 30, 2023)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (November 30, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (November 30, 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 (December 14, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 14, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 14, 2023)

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