Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Good Samaritan Society Miller Pointe A Prospera Co during CMS and state inspections, most recent first.
Staff failed to use required safety belts on the spa lift chair for two residents during bathing, contrary to facility policy and manufacturer instructions. This led to a fall and nasal fracture for a resident who required assistance for transfers and bathing, as the safety belt was not applied and the chair was not in the lowest position.
The facility failed to follow infection control standards for residents with indwelling catheters and on TBP. A provider did not use proper PPE when interacting with COVID-19 positive residents, and a resident with a catheter was not on EBP. Additionally, a CNA improperly cleaned an ileostomy bag and did not follow hand hygiene protocols. These actions were confirmed by administrative staff.
A resident fell from a mechanical lift due to improper use by staff, resulting in fractures to the right tibia and fibula. The resident, who is paraplegic, was being transferred by two staff members when one failed to properly secure the sling, causing the fall. The resident was assessed and later sent for an X-ray, which confirmed the fractures.
A resident fell from a mechanical lift due to improper handling by two staff members, resulting in a swollen knee. The facility failed to report this potential neglect incident to the State Survey Agency within the required 24-hour timeframe, as per their policy.
Failure to Use Spa Chair Safety Belts Results in Resident Injury
Penalty
Summary
The facility failed to utilize required safety devices, specifically the spa chair safety belt, for two residents during bathing activities. In both observed cases, certified nurse aides assisted residents onto the spa lift chair and either did not apply the safety belt or did not ensure the chair was in the lowest position as required by facility policy and the manufacturer's instructions. One resident, who required assistance for transfers and bathing, was left in the spa lift chair without the safety belt and with feet elevated off the floor while being dressed. Another resident was also placed in the spa chair without the safety belt and with feet off the ground. This failure to follow established safety protocols resulted in one resident falling from the bath chair and sustaining a nasal fracture. Review of facility policy and the manufacturer's guide confirmed that safety belts are required to be used at all times when residents are in the spa lift chair. Administrative staff confirmed that their expectation was for staff to apply the safety belt and keep it in place while residents are in the chair.
Removal Plan
- Assessment and care plan changes for the residents observed, if needed.
- Education for all the bath aides as well as skill validations will be completed
- Plans for auditing the effectiveness of the training.
- Reviewed and determination the current bathing policy will remain unchanged.
Infection Control Deficiencies in PPE Use and Resident Care
Penalty
Summary
The facility failed to adhere to infection prevention and control standards for residents with specific medical needs, including those with indwelling catheters and on transmission-based precautions (TBP). One incident involved a contract provider who did not follow the recommended personal protective equipment (PPE) protocol when interacting with COVID-19 positive residents. The provider entered a resident's room wearing only an N-95 mask, without donning a gown, gloves, or eye protection, and failed to change the mask or sanitize a stethoscope after interacting with another COVID-19 positive resident in the hallway. This breach of protocol was confirmed by an administrative nurse who acknowledged the expectation for staff to adhere to facility policies regarding TBP. Another deficiency was observed with a resident who had an indwelling catheter but was not placed on enhanced barrier precautions (EBP) as required. A nurse confirmed the presence of the catheter and the absence of EBP, indicating a lapse in following the facility's infection control policy. The policy mandates the use of gowns and gloves during high-contact care activities to prevent the transfer of multi-drug resistant organisms (MDROs). Additionally, the facility did not follow proper infection control procedures for a resident with an ileostomy. A certified nurse aide (CNA) was observed improperly cleaning an ileostomy bag by filling it with water under a bathroom sink faucet and failing to perform hand hygiene before donning new gloves. The CNA also used a walkie-talkie without changing gloves, potentially contaminating equipment. An administrative nurse confirmed that the CNA did not adhere to the expected procedures for hand hygiene and equipment cleaning.
Failure to Ensure Proper Use of Mechanical Lift Leads to Resident Fall
Penalty
Summary
The facility failed to ensure adequate supervision and proper use of assistive devices, resulting in a fall incident involving a resident. The incident occurred when the resident was being transferred using a mechanical lift by two staff members. During the transfer, one staff member did not properly loop the sling on the lower left side, causing the resident to fall out of the lift. The resident, who is paraplegic, experienced a fall that resulted in a swollen right knee with an indent, although he did not report any pain due to his condition. The resident was identified as cognitively intact and capable of making decisions. After the fall, the resident was assessed by a nurse and therapy staff, and it was noted that the resident's right knee was slightly swollen. The resident was initially reluctant to seek immediate medical attention, preferring to wait for his primary care provider's scheduled visit. However, an X-ray was eventually conducted, revealing fractures in the right tibia and fibula. The incident was documented in the nursing progress notes, which detailed the sequence of events and the resident's condition post-fall. The notes indicated that the resident was transferred back to bed using the mechanical lift, and his vital signs were within normal limits. The resident's wife was informed of the incident and the subsequent medical findings. The fall team convened to discuss the incident, and the resident was later sent to the emergency room for further evaluation and treatment.
Removal Plan
- Re-educate employees involved in the incident on Safe Resident Handling and use of the mechanical lift and slings.
- Notify provider and family of the fall and provide follow up care and treatment.
- Provide education to all staff members on Safe Resident Handling, including use of various lift devices, types and sizes of slings, and mechanical lift scenarios.
Failure to Timely Report Potential Neglect Incident
Penalty
Summary
The facility failed to report an incident of potential neglect to the State Survey Agency (SA) within the required 24-hour timeframe. The incident involved a resident who fell from a mechanical lift while being transferred by two staff members. The fall occurred because the staff did not properly loop the sling on the lower left side and hook it to the lift. As a result of the fall, the resident was assessed and found to have a swollen right knee with an indent noted. The facility's policy on abuse and neglect, dated July 22, 2024, mandates that any alleged or suspected violations involving mistreatment or neglect must be reported immediately to the administrator and, in their absence, through the chain of command. The policy also requires that incidents not involving abuse but resulting in no serious bodily injury be reported within 24 hours. However, the facility reported the incident to the SA two days after it occurred, failing to comply with the established reporting timeline.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 5 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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Mandan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sunset Drive - A Prospera Community | 3.9 mi | — | 2 | 0 |
| Good Samaritan Society Augusta Place A Prospera Co | 4.2 mi | — | 2 | 0 |
| Dakota Alpha | 4.3 mi | — | 0 | 0 |
| Missouri Slope | 4.4 mi | — | 0 | 0 |
| Missouri Slope | 4.7 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Good Samaritan Society Miller Pointe A Prospera Co.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.