The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
GOOD SAMARITAN SOCIETY NEW UNDERWOOD
NEW UNDERWOOD, SD · Medicare-certified · 41 beds
Needs attention
Non-profitChain member
Data as of July 1, 2026
2 of 5 overall
Good Samaritan Society New Underwood has a 2 out of 5 star overall rating, with 2-star health inspections, 3-star staffing, and 3-star quality measures. It reports 2.82 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $26,595 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.8221 hrs/resident/day
Quality measures
Last inspection: December 8, 2025Penalties, last 24 months: $26,595recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8221.
Staffing detail
- Registered nurses
- 0.79
- Licensed practical nurses
- 0.41
- Nurse aides
- 1.62
- Weekend nursing
- 2.23
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 50%
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
30.4%32%Worsening
Residents with a fall causing major injury
3.2%0%Improving
Residents with pressure ulcers (bedsores)
9.6%5.6%Improving
Residents with a urinary tract infection
0%2.9%Worsening
Residents who lost too much weight
14.3%6.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.1%30.3%Worsening
Residents whose ability to walk got worse
—27.6%—
Long-stay residents on antianxiety or sleep medication
10%15.2%Worsening
Short-stay residents newly given an antipsychotic
—2.6%—
Residents with a long-term catheter
2.7%1.8%Improving
Residents with new or worsening incontinence
49.5%8.8%Improving
Residents with depressive symptoms
0%0%No change
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
—97.2%—
Long-stay residents given the pneumonia vaccine
100%94.1%Worsening
Short-stay residents given the seasonal flu vaccine
—95.5%—
Short-stay residents given the pneumonia vaccine
95.7%72%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 January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $11,190 was recorded.
- PENALTY
A federal fine of $17,215 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $15,405 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $26,595 in total fines.
- $11,190
Federal fine
Jun 10, 2025
- $15,405
Federal fine
Jan 30, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of GOOD SAMARITAN SOCIETY · 91 homes · 3 stars avg
- Occupancy
- 37.2 residents on an average day (91% of 41 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 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.