Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Good Samaritan Society Scotland during CMS and state inspections, most recent first.
The facility failed to complete baseline care plans and provide written summaries to residents or their representatives within 48 hours of admission. Four residents did not receive timely or complete care plans, with missing components such as dietary orders and therapy services. Staff interviews revealed that staffing challenges contributed to the delay, and the facility did not adhere to its policy requiring prompt development and distribution of care plans.
Two residents experienced medication administration errors due to facility staff's failure to follow physician orders. One resident missed doses of Tamiflu and spironolactone was incorrectly resumed, while another resident missed increased doses of Cymbalta and did not receive Clozaril as documented. Miscommunication and misinterpretation of orders contributed to these errors.
A resident with severe cognitive impairment was verbally abused by a CNA, who demanded she 'shut her mouth and drink her coffee.' The incident was witnessed by a cook, reported to an RN the next day, but not addressed until three days later. The facility's abuse reporting protocol was not followed, leading to a delay in addressing the incident.
A resident's alleged abuse incident was not reported to the SD DOH within the required timeframe. The incident involved a CNA's inappropriate verbal exchange with a resident, witnessed by a cook who reported it to an RN. The report was delayed due to the administrator being on vacation and the report not being found until days later, contrary to the facility's policy requiring immediate reporting.
Failure to Complete Baseline Care Plans Within 48 Hours
Penalty
Summary
The facility failed to complete a baseline care plan and provide a written summary to the resident or their representative within 48 hours of admission for four recently admitted residents. Resident 8's electronic medical record showed no progress notes related to a baseline care plan, and the resident was unaware of any care plan discussions. Similarly, resident 133 did not receive a summary of his care plan, and his comprehensive care plan was not completed until much later. Resident 183 and his wife could not recall any care plan discussions within the first two days of admission, and the baseline care plan did not address all required areas. Resident 184's baseline care plan was incomplete, missing essential components such as dietary orders, therapy services, and social services. The care plan was not provided to the resident or her representative within the required timeframe. Interviews with staff, including the MDS coordinator and the Director of Nursing, revealed that the baseline care plans were not completed within the 48-hour requirement due to staffing challenges and other priorities. The facility's policy required a baseline care plan to be developed upon admission and provided to the resident or representative. However, the facility did not meet these requirements, as confirmed by interviews with the MDS coordinator and the administrator. The lack of timely and complete baseline care plans indicates a failure to adhere to federal and state regulations, impacting the quality of care provided to the residents.
Medication Administration Errors for Two Residents
Penalty
Summary
The facility failed to administer medications as ordered by physicians for two residents, leading to medication errors. Resident 11, who was cognitively intact and diagnosed with congestive heart failure and chronic respiratory failure, experienced errors with her medication regimen. The facility staff incorrectly transcribed her Tamiflu order, resulting in the resident missing six doses. Additionally, there was a misunderstanding regarding the continuation of her spironolactone, leading to unnecessary administration without a physician's order. Resident 3, who had severe cognitive impairment and was diagnosed with severe vascular dementia and bipolar disorder, also experienced medication errors. The resident's Cymbalta dosage was increased, but the facility continued administering the previous lower dose, resulting in 13 missed doses of the increased prescription. Furthermore, the resident's Clozaril was not administered as it had not been filled by the pharmacy, yet it was incorrectly documented as given. The errors were compounded by miscommunication and misinterpretation of physician orders by the facility staff. The certified medication aide (CMA) involved in the administration of Clozaril did not receive proper handover information and failed to follow the five rights of medication administration. The facility's processes for medication reconciliation and administration were not adequately followed, leading to these deficiencies.
Failure to Protect Resident from Verbal Abuse
Penalty
Summary
The deficiency involved a failure to protect a resident from verbal abuse by a certified nursing assistant (CNA) in a long-term care facility. The incident occurred when the CNA raised his voice at a resident with severe cognitive impairment, demanding that she 'shut her mouth and drink her coffee.' This exchange was witnessed by a cook, who reported the incident to a registered nurse (RN) the following morning. However, the report was not immediately acted upon, as it was not found until three days later. The resident involved in the incident had a history of severe cognitive impairment, anxiety, and other health issues, including dementia and a cognitive communication deficit. Her care plan included interventions for her cognitive and psychosocial well-being deficits, such as monitoring changes in cognitive function and providing a calm environment. Despite these interventions, the resident was subjected to verbal abuse, which was not promptly reported or documented in her medical records. The facility's policy required immediate reporting of abuse allegations, but this protocol was not followed. The cook who witnessed the incident did not report it immediately, and the RN who received the report did not ensure it was promptly addressed. The delay in reporting and addressing the incident highlights a breakdown in the facility's abuse reporting and response procedures, which are critical for protecting residents from harm.
Delayed Reporting of Alleged Abuse Incident
Penalty
Summary
The provider failed to report an incident of alleged abuse within the required timeframe to the South Dakota Department of Health (SD DOH) for a resident. The incident involved a verbal exchange between a certified nursing assistant (CNA) and a resident, which was observed by a cook. The cook reported the incident to a registered nurse (RN) the following morning, who instructed the cook to write a report and place it under the administrator's door. However, the report was not discovered until three days later, delaying the notification to the SD DOH. The incident occurred when the resident attempted to take a Styrofoam cup of coffee to her room, and the CNA verbally refused her request in an inappropriate manner. The cook, who witnessed the exchange, initially did not report the incident immediately but later informed the nutrition and food services supervisor (NFSS) and the RN. Despite being instructed to report the incident, the cook's report was not acted upon promptly, leading to a delay in addressing the alleged abuse. The facility's policy requires immediate reporting of abuse allegations to the administrator or designated authority in their absence, and a two-hour timeline for reporting to the DOH. The administrator, who was on vacation at the time, confirmed that the incident reporting was not completed in a timely manner. The policy also mandates that the charge nurse or licensed nurse assess the situation and ensure any potential for further abuse is eliminated, which was not adhered to in this case.
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Illustrative
What surveyors actually found near you
We read the 14 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Scotland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Menno-olivet Care Center | 9.1 mi | ★★★★★ | 1 | 0 |
| Good Samaritan Society Tyndall | 13.2 mi | ★★★★★ | 0 | 0 |
| Oakview Terrace | 19.5 mi | ★★★★★ | 0 | 0 |
| Avera Bormann Manor | 21.9 mi | ★★★★★ | 9 | 0 |
| Sd Human Services Center - Geriatric Program | 23 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 July 2026) and official state health department websites.