The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
GOOD SAMARITAN SOCIETY DE SMET
DE SMET, SD · Medicare-certified · 46 beds
Needs attention
Non-profitChain member
Data as of July 1, 2026
1 of 5 overall
Good Samaritan Society De Smet has a 1-star overall rating, with 2 stars for health inspections, 3 stars for staffing, and 1 star for quality measures. It reports 3.40 nurse hours per resident per day versus the 4.1 federal benchmark, had $27,989 in fines in the last 24 months, and has a recent federal penalty; recent inspection citations included care not following orders, pressure ulcer prevention, and resident abuse protection.
Facility ratings
Health inspections
Staffing
3.4029 hrs/resident/day
Quality measures
Last inspection: October 23, 2025Penalties, last 24 months: $27,989recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4029.
Staffing detail
- Registered nurses
- 1.02
- Licensed practical nurses
- 0.28
- Nurse aides
- 2.10
- Weekend nursing
- 2.68
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 36%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—35%—
Residents with a fall causing major injury
5.9%2.9%Improving
Residents with pressure ulcers (bedsores)
2.4%4.8%Worsening
Residents with a urinary tract infection
2.9%0%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
40%34.8%Improving
Residents whose ability to walk got worse
—24.4%—
Long-stay residents on antianxiety or sleep medication
20%14.8%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2.7%2.3%No change
Residents with new or worsening incontinence
17.3%21%Worsening
Residents with depressive symptoms
0%3.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—88.2%—
Long-stay residents given the pneumonia vaccine
97.1%88.6%Worsening
Short-stay residents given the pneumonia vaccine
70%52.2%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: E
Recent history
- PENALTY
A federal fine of $17,342 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $26,680 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,647 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $27,989 in total fines.
- $17,342
Federal fine
Oct 23, 2025
- $10,647
Federal fine
Jan 2, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of GOOD SAMARITAN SOCIETY · 91 homes · 3 stars avg
- Occupancy
- 38.5 residents on an average day (84% of 46 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.