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

GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER

SIOUX FALLS, SD · 98 certified beds · Last Life Safety survey September 5, 2025

CMS Certification Number 435046 · first certified July 1990

Ownership

Operated by GOOD SAMARITAN SOCIETY · Non profit - Corporation

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

7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within SD

7 citations — more than 80% 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

Slippingmore 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 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 2 months from now. This facility’s last Life Safety survey was September 2025. Facilities in SD are typically surveyed 15–16 months after the last one (median 16), measured over 136 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

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 7 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 SD, and nationally. Surveyors differ markedly between states, so the SD figure is the meaningful one.

This facility7SD median3National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in SD3
Median facility nationally11

Survey history

Citations at each Life Safety survey
12023-0632024-0632025-09
Citations at each Life Safety survey
Survey dateCitations
June 22, 20231
June 13, 20243
September 5, 20253

Most-cited tags

Most-cited tags at this facility
K-09231K-03531K-02261K-02111K-02411K-03251K-02221
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0923Have proper medical gas storage and administration areas.12025-09-05
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-09-05
K-0226Have horizontal exits used in accordance with safety requirements.12023-06-22
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12025-09-05
K-0241Have correct number of accessible exits for each story.12024-06-13
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.12024-06-13
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-06-13

What the citations cover

Citations by CMS category
  • Egress Deficiencies 4
  • Smoke Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Egress Deficiencies4
Smoke Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

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

September 5, 2025 — 3 citations

Citations issued on September 5, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (October 14, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 14, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (October 14, 2025)

June 13, 2024 — 3 citations

Citations issued on June 13, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (June 13, 2024)
K-0241Have correct number of accessible exits for each story.Deficient, Provider has date of correction (June 13, 2024)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (June 13, 2024)

June 22, 2023 — 1 citation

Citations issued on June 22, 2023
TagWhat the surveyor checksStatus
K-0226Have horizontal exits used in accordance with safety requirements.Deficient, Provider has plan of correction (June 23, 2023)

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