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
2 of 5 overall
Good Samaritan Society De Smet has an overall rating of 2 out of 5 stars, with low health inspection and quality ratings but a higher staffing rating. It has reported nurse staffing below the federal benchmark (3.41 vs 4.1 hours per resident per day) and $37,327 in fines in the last 24 months, along with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4099 hrs/resident/day
Quality measures
Last inspection: October 23, 2025Penalties, last 24 months: $37,327recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4099.
Staffing detail
- Registered nurses
- 0.98
- Licensed practical nurses
- 0.27
- Nurse aides
- 2.15
- Weekend nursing
- 2.85
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 20%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
31.6%Worsening
Residents with a fall causing major injury
4.4%Improving
Residents with pressure ulcers (bedsores)
1.3%Improving
Residents with a urinary tract infection
2.2%Steady
Residents who lost too much weight
2.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
28.9%Worsening
Residents whose ability to walk got worse
26.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
19.2%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
3.7%Worsening
Residents with new or worsening incontinence
25.5%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
88.2%Steady
Long-stay residents given the pneumonia vaccine
97.1%Steady
Short-stay residents given the pneumonia vaccine
84.4%Steady
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.
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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
- 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 · $37,327 in total fines.
- $26,680
Federal fine
Oct 23, 2025
- $10,647
Federal fine
Jan 2, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of GOOD SAMARITAN SOCIETY · 92 homes · 3 stars avg
- Occupancy
- 37.6 residents on an average day (82% 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.