Above average — CMS composite of the measures below.
The next survey window likely opens around July 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Good Samaritan Society Canton during CMS and state inspections, most recent first.
A resident with severe cognitive impairment fell during a lift transfer when a sling strap came loose and the chest strap clip broke, and two other residents were observed being transferred with total body lifts using slings that were not verified against their care plans or mobility assessments. Staff interviews showed some CNAs relied on the sling already in the room or on how it fit, rather than consistently checking the care plan or Kardex for the correct sling size and transfer method.
A resident with a history of major depressive disorder and recent loss of a spouse exhibited ongoing signs of depression, but the facility failed to document or provide evidence of offering counseling, medication review, or other supportive interventions. Staff interviews revealed uncertainty about whether such services were offered, and no documentation was found in the medical record or care plan to support that appropriate psychosocial care was provided.
A housekeeper/laundry aide failed to follow infection control protocols while cleaning the room of a resident on contact precautions for C-DIFF, including not sanitizing cleaning supplies before removing them from the room and not performing proper hand hygiene. Staff interviews revealed uncertainty about correct procedures, and policy review indicated that required infection control practices were not followed.
A resident with a history of shoulder pain was injured during a transfer using a sit-to-stand lift when staff failed to secure the chest safety strap, resulting in a fracture. The incident highlighted a lapse in protocol adherence, leading to non-compliance with F689.
Failure to verify correct sling size and safe lift use during resident transfers
Penalty
Summary
The facility failed to ensure staff followed accident prevention interventions and safe device use for three sampled residents who required total body lift transfers. The report states that four certified nursing assistants did not verify the correct sling size before transferring residents, despite care plans and the lift’s sling-size identification system directing staff to use specific sling sizes based on resident weight and transfer needs. Resident 39 had severe cognitive impairment, Alzheimer’s disease, dementia with behavioral disturbance, anxiety disorder, and muscle weakness. Her care plan and mobility assessments showed a progression from sit-to-stand lift use to total body lift use with two staff members and a medium sling. On 5/1/26, she was transferred from her wheelchair to her bed by a CNA using a sit-to-stand lift when the sling strap came loose from the hook on the lift and the chest strap clip broke, causing her to fall backward onto the floor. She sustained a skin tear on her right forearm, bruising to the right side of her face, redness to the right side of her body, and a bruise on her right frontal scalp. She was sent to the ER, where X-rays showed no acute findings or fractures. Observations later showed resident 39 being transferred with a total body lift using a large sling, and resident 8 and resident 25 were also observed with large total body lift slings on. Resident 8 had paraplegia, moderate cognitive impairment, and a care plan directing total body lift transfers with a medium and extra-large sling, while his mobility assessment indicated an extra-large sling and two staff members. Resident 25 had vascular dementia and muscle weakness; her care plan directed total body lift transfers with two staff members, and her mobility assessment indicated a large sling. Interviews with CNAs showed that staff sometimes relied on the sling already in the room or judged sling size by how it fit, rather than consistently referring to the care plan or Kardex. The DON and MDS coordinator stated that staff were expected to use the resident’s care plan or Kardex to determine sling size for safe transfers.
Failure to Document and Provide Interventions for Resident with Depression and Grief
Penalty
Summary
A deficiency occurred when the facility failed to provide and document appropriate interventions and services for a resident diagnosed with major depressive disorder who had recently experienced the loss of a spouse. Observations and interviews revealed that the resident displayed signs of depression, such as an expressionless affect, lack of engagement, and tearfulness when discussing his wife's death. Although the resident was previously on an anti-depressant, it had been discontinued, and there was no evidence that counseling or other supportive interventions were offered or documented following his spouse's passing. Interviews with the social services designee (SSD), nursing staff, and the director of nursing indicated uncertainty and lack of documentation regarding any offers of counseling services, discussions about resuming anti-depressant medication, or other interventions to address the resident's ongoing grief and depressive symptoms. The SSD and other staff members stated that such conversations may have occurred and that the resident and his family may have declined services, but no documentation was available to support these claims. Additionally, the SSD was not a licensed social worker and required oversight, but there was no documentation of what was reviewed or discussed during oversight meetings with the licensed social worker. Review of the resident's medical record, care plan, and physician notes confirmed the absence of documented interventions or follow-up regarding the resident's depression and grief. The care plan had not been updated to reflect new interventions after the spouse's death, and interdisciplinary team meetings did not document any offers of counseling or medication review. The facility's policy required documentation of social work interventions, but no such documentation was found to support that appropriate psychosocial care was provided.
Failure to Follow Infection Control Procedures During Room Cleaning for Resident on Contact Precautions
Penalty
Summary
A deficiency occurred when a housekeeper/laundry aide failed to follow proper infection control procedures while cleaning the room of a resident who was on contact precautions for Clostridium Difficile (C-DIFF), a highly infectious disease. The aide entered the resident's room wearing gloves and a gown, brought in cleaning supplies, and placed them on the resident's dresser. After cleaning, the aide removed her gloves and gown, then placed the uncleaned cleaning supplies on top of an open box of clean gloves on her cleaning cart outside the room, without sanitizing the items first. She also left the room without washing or sanitizing her hands, only washing them later in the soiled utility room after touching the door handle. Interviews revealed that the housekeeper was unsure about the correct procedures for handling supplies and hand hygiene when cleaning rooms under contact precautions. She acknowledged that she should have sanitized the supplies before removing them and did not realize she had contaminated the clean gloves. The environmental services supervisor and another housekeeper also demonstrated uncertainty about the correct process, with the supervisor unable to recall the last time staff competencies or audits were completed regarding infection control. The director of nursing confirmed that competencies had not been recently completed for housekeeping staff and agreed that the observed process was incorrect. Policy review showed that the facility's procedures required cleaning equipment to be sanitized after use in rooms with infectious diseases and specified that hand hygiene with soap and water was necessary after glove removal, especially for C-DIFF. However, these procedures were not followed during the observed cleaning, and staff were unclear about the correct infection control practices, leading to the potential for contamination and spread of infection.
Resident Injury Due to Improper Use of Sit-to-Stand Lift
Penalty
Summary
A deficiency occurred when a resident was injured during a transfer using a sit-to-stand lift. The incident took place when staff were transferring the resident, who had a history of left shoulder pain, with the lift. During the transfer, the resident complained of shoulder pain, let go of the lift's handles, and slid below the sling, resulting in the staff lowering him to the ground. Although initial assessments showed no increased pain, the resident later reported increased shoulder pain, leading to an x-ray that revealed an acute impacted traumatic fracture of the humeral head and neck. The investigation revealed that the staff involved did not follow the facility's protocol, as the chest safety strap was not secured during the transfer. This oversight was identified as a contributing factor to the resident's injury. The staff involved were interviewed, and it was confirmed that the sling used was the proper size, and a time out was completed before mobilizing the lift. However, the failure to secure the chest safety strap was a critical lapse in protocol adherence. The resident's care plan was subsequently updated to require the use of a total lift with the assistance of two staff members for future transfers. The deficiency was identified as non-compliance with F689, which requires facilities to ensure that the environment is free from accident hazards and provides adequate supervision to prevent accidents.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Canton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fellowship Village | 8 mi | ★★★★★ | 2 | 0 |
| Avera Prince Of Peace | 14.3 mi | ★★★★★ | 0 | 0 |
| Avantara Norton | 15.8 mi | — | 21 | 0 |
| Good Samaritan Society Luther Manor | 16.4 mi | ★★★★★ | 13 | 0 |
| Hegg Memorial Health Center | 16.9 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.