Good Samaritan Society-St Croix Valley Previous Health Inspections

Deficiencies found in standard inspection(s) and complaint investigations 09/01/2010 to 11/30/2011

Total number of health deficiencies for this nursing home:
3
Average number of health deficiencies (Wisconsin):
8
Average number of health deficiencies (U.S.):
8
Range of health deficiencies (Wisconsin):
1-34

Environmental Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Have a program to keep infection from spreading. 8/25/2011 10/19/2011

Quality Care Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Develop/implement required procedures for the administration of immunizations. 8/25/2011 10/19/2011

Resident Rights Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. 8/25/2011 10/19/2011

NA: Not available, not applicable, insufficient data, or did not report.

Note: Deficiencies (totals and ranges) and averages (state and national) may not match those shown on the federal Nursing Home Compare Web site. The Centers for Medicare and Medicaid Services, which runs the site, reviewed and approved the U.S. News method.