Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
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 Canistota during CMS and state inspections, most recent first.
The facility failed to provide bed-hold notifications to residents and their representatives during hospital transfers. A resident was transferred to the hospital without documentation of bed-hold information being provided, and another resident experienced similar issues during two hospital transfers. Staff interviews revealed confusion over responsibility for issuing notifications, with the social worker and charge nurse not effectively communicating or following the facility's policy.
The facility failed to follow food safety guidelines and proper cleaning procedures in the main kitchen. Uncovered bowls of cereal were improperly stored, and dishes with food residue were found, despite staff washing them by hand due to a broken dishwasher booster heater. Facility policies on food storage and warewashing were not adhered to, leading to deficiencies in maintaining cleanliness standards.
A resident admitted from a psychiatric facility did not receive a baseline care plan summary within 48 hours as required. Despite having moderate cognitive impairment and multiple diagnoses, there was no documentation of a power of attorney or evidence that the care plan was reviewed with her. Interviews revealed the care plan was completed weeks later, contrary to the facility's policy.
A resident with Huntington's Disease, who is cognitively intact, was denied her preference for ice cream, leading to distress and aggressive behavior. Despite a care plan indicating the provision of snacks, staff failed to accommodate her requests, citing scheduled meal times. Interviews revealed a lack of awareness and communication regarding the resident's preferences, and the facility's policy on resident rights was not followed.
A resident with Huntington's Disease and Major Depressive Disorder, who was cognitively intact, experienced distress when her preference for ice cream was not honored by staff, leading to aggressive behavior. The care plan was not updated to reflect her preference for ice cream, despite the facility's policy on person-centered care. This oversight occurred during a transition in facility administration.
A resident with severe cognitive impairment and a history of elopement risk managed to leave the facility unnoticed after a CNA bypassed a door alarm and failed to rearm it. The resident exited the building and was found wandering on a nearby road. Despite having a wander guard and being redirected multiple times, the resident's elopement occurred due to the door alarm not being reactivated.
Failure to Provide Bed-Hold Notifications During Hospital Transfers
Penalty
Summary
The provider failed to issue bed-hold notifications to residents and their representatives during hospital transfers, as required by policy. Resident 9 was transferred to the hospital and admitted, but there was no documentation indicating that bed-hold information was provided to her or her power of attorney (POA). Similarly, Resident 46 was transferred to the hospital on two occasions, and while a bed-hold was eventually signed for one of the transfers, there was no documentation of bed-hold information being provided for the other transfer. Interviews with staff revealed a lack of clarity and communication regarding the responsibility for issuing bed-hold notifications. The social worker, responsible for issuing these notifications, was not informed of the hospitalization of Resident 46, which occurred on a Sunday. The administrator confirmed that the facility had a checklist for transfers and expected the social worker to issue notifications during business hours and the charge nurse to do so during nights and weekends. However, the bed-hold notifications were not being issued appropriately, as confirmed by both the social worker and the administrator.
Deficiency in Food Safety and Dish Cleaning Procedures
Penalty
Summary
The provider failed to adhere to necessary food safety guidelines for the storage of resident food items and proper cleaning procedures for dishes in the main kitchen. During an observation, it was noted that three uncovered bowls of breakfast cereal were stacked on top of each other inside a cupboard above the steam table. Additionally, three soup bowls and three soup cups with food residue were found inside another cupboard. Interviews with the cook and the nutrition and food services supervisor revealed that the booster heater of the commercial dishwasher had been out of order for two weeks, leading staff to wash dishes by hand. Although staff were monitoring water temperatures and sanitizer levels, the presence of food residue on dishes indicated a failure in maintaining cleanliness standards. The facility's policies on food supply storage and warewashing were not followed, as evidenced by the uncovered and improperly stored food items and inadequately cleaned dishes. The provider's policy required that opened or prepared foods be placed in enclosed containers, dated, labeled, and stored properly, which was not done. Furthermore, the manual warewashing policy required that all utensils and wares be scraped, washed, rinsed, and sanitized, which was not effectively carried out, as shown by the food residue on the dishes. The booster heater was scheduled for replacement, but the deficiency in maintaining food safety and cleanliness standards persisted during the survey period.
Failure to Provide Baseline Care Plan Summary to Resident
Penalty
Summary
The provider failed to ensure that a resident, who was admitted from an inpatient psychiatric facility, had reviewed and was provided a summary of her baseline care plan within 48 hours of admission. The resident, diagnosed with unspecified mood disorder, mild neurocognitive disorder, liver cell carcinoma, and long-term use of anticoagulants, had a BIMS score indicating moderate cognitive impairment. There was no documentation of a power of attorney until a later date, and the baseline care plan was not signed as completed until several weeks after admission. Furthermore, there was no evidence in the electronic medical record that a baseline care plan summary had been reviewed with the resident. Interviews with the director of nursing and the MDS nurse revealed that the baseline care plan was completed much later than required, and there was no documentation of the care plan being reviewed with the resident at the time of admission. The resident herself did not recall reviewing or signing a baseline care plan upon admission. The facility's care plan policy, revised shortly before the interviews, mandates that a baseline care plan be developed upon admission and that a written summary be provided to the resident and their representative, which was not adhered to in this case.
Failure to Accommodate Resident's Snack Preferences
Penalty
Summary
The deficiency involves the failure of the facility to accommodate a resident's snack time preferences, specifically regarding the provision of ice cream. The incident occurred when the resident, who has Huntington's Disease and is cognitively intact with a BIMS score of 15, requested ice cream after having already been given some earlier. The staff denied her request, leading to the resident becoming upset and exhibiting aggressive behaviors such as yelling, swearing, and kicking staff. This incident resulted in the resident being taken to her room to calm down. The resident's medical record indicated a significant weight loss, and her care plan included providing a diet as ordered with smaller portions per her request and general snacks/hydration between meals. Despite this, the staff did not accommodate her request for ice cream, which she preferred due to its ease of swallowing. Observations and interviews revealed that the resident had a history of requesting ice cream and other snacks at various times, including early morning, and was often told to wait until scheduled meal times, which contributed to her distress. Interviews with staff, including CNAs, RNs, and the DON, highlighted a lack of awareness and communication regarding the resident's preferences and the facility's policy on resident rights and choices. The facility's policy emphasized promoting and facilitating resident self-determination through support of resident choice, which was not adhered to in this case. The administrator confirmed that there was no documentation of the investigation or education provided following the incident, and the care plan had not been updated to reflect the resident's preferences.
Failure to Update Care Plan for Resident's Snack Preferences
Penalty
Summary
The provider failed to update the care plan to reflect a resident's current snack preferences, specifically her preference for ice cream. The incident occurred when the resident, who was cognitively intact with a BIMS score of 15 and had diagnoses including Huntington's Disease and Major Depressive Disorder, requested ice cream after having already received her evening snack. The staff informed her that she could not have more ice cream, which led to the resident becoming upset and exhibiting aggressive behavior. The care plan did not document the resident's preference for ice cream or the staff's education to provide it even if she had already consumed her normal amounts for the day. The resident expressed frustration over her lack of independence and her preference for ice cream due to its ease of swallowing, a preference supported by her friend who regularly brought ice cream to the facility. Despite the facility's policy emphasizing person-centered care and supporting residents in making their own choices, the care plan was not updated to reflect these preferences. The incident occurred during a transition period for the facility's administration, which may have contributed to the oversight.
Resident Elopement Due to Door Alarm Bypass
Penalty
Summary
The deficiency involved a resident identified at risk for elopement who managed to leave the facility without staff knowledge. On the night of the incident, the resident wandered throughout the building, and staff redirected him away from the doors multiple times. However, at 4:41 a.m., a certified nursing assistant (CNA) responded to the resident's attempt to exit through a door by entering a bypass PIN code, which turned off the door alarm. The CNA redirected the resident but then left to respond to another resident's call light, leaving the door unmonitored. The resident, who had severe cognitive impairment and a history of elopement risk, turned around and exited the building through the same door at 4:41 a.m., unnoticed by staff. The door alarm had been bypassed and did not reactivate immediately, allowing the resident to leave the facility. The resident was found wandering on a nearby road at 6:30 a.m. and was returned to the facility without injuries. The resident's medical record indicated a Brief Interview for Mental Status (BIMS) score of three, signifying severe cognitive impairment, and diagnoses including dementia with behavioral disturbances, anxiety disorder, and major depressive disorder. The resident's care plan had previously identified the risk of elopement, and a wander guard was in place to alert staff to his movements. Despite these measures, the failure to ensure the door alarm was rearmed after being bypassed led to the resident's elopement.
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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 Canistota
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Diamond Care Center | 10.7 mi | — | 13 | 0 |
| Tieszen Memorial Home | 12 mi | — | 0 | 0 |
| Oakview Terrace | 18.6 mi | — | 0 | 0 |
| Good Samaritan Society Sioux Falls Village | 26.1 mi | — | 0 | 0 |
| Bethany Home Sioux Falls | 27.6 mi | — | 3 | 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 August 2026) and official state health department websites.