Good Samaritan Home

Penalties

• Sep 19, 2025 — IDPH fine (Nursing Home Care Act) ($25,000)
• Aug 19, 2023 — Fine ($26,640)

Inspection findings

1. Sep 19, 2025 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Oct 9, 2025 · CMS health inspection

   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1010h), 300.1210b), 300.1210d)3), 300.3240a) The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation:300.1210b).

     Statement of deficiencies (PDF)

2. Jul 17, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 7, 2025 · CMS health inspection

3. Oct 27, 2024 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0622 Resident Rights Deficiencies

     Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

     Corrected Nov 21, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0623 Resident Rights Deficiencies

     Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

     Corrected Nov 21, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0625 Resident Rights Deficiencies

     Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

     Corrected Nov 21, 2024 · CMS health inspection

4. Aug 15, 2024 Fire Safety · 11 findings
   • Not serious Scope/severity F

     E0015 Emergency Preparedness Deficiencies

     Address subsistence needs for staff and patients.

     Corrected Sep 6, 2024 · CMS fire safety

   • Not serious Scope/severity D

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Sep 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Sep 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Sep 6, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Sep 6, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Sep 6, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Sep 6, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Sep 6, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Sep 6, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0913 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure operating rooms are properly protected and written records are maintained and available for inspection.

     Corrected Sep 6, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Sep 6, 2024 · CMS fire safety

5. Nov 14, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Nov 30, 2023 · CMS health inspection

6. Aug 19, 2023 Health · 5 findings
   • Serious Scope/severity J

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Aug 20, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Sep 1, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Aug 30, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Aug 30, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Aug 30, 2023 · CMS fire safety

7. Sep 8, 2022 Fire Safety · 10 findings
   • Not serious Scope/severity F

     E0031 Emergency Preparedness Deficiencies

     Provide emergency officials' contact information.

     Corrected Sep 20, 2022 · CMS fire safety

   • Not serious Scope/severity D

     F0805 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

     Corrected Oct 3, 2022 · CMS health inspection

   • Not serious Scope/severity F

     F0867 Administration Deficiencies

     Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

     Corrected Oct 3, 2022 · CMS health inspection

   • Serious Scope/severity K

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 3, 2022 · CMS health inspection

   • Not serious Scope/severity E

     F0887 Infection Control Deficiencies

     Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

     Corrected Oct 3, 2022 · CMS health inspection

   • Not serious Scope/severity E

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Sep 20, 2022 · CMS fire safety

   • Not serious Scope/severity E

     K0311 Smoke Deficiencies

     Have an enclosure around a vertical opening shaft.

     Corrected Sep 22, 2022 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Sep 22, 2022 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Sep 20, 2022 · CMS fire safety

   • Not serious Scope/severity F

     K0711 Miscellaneous Deficiencies

     Provide a written emergency evacuation plan.

     Corrected Sep 20, 2022 · CMS fire safety

Owners and managers (as published by CMS)

• ANDERSON, HALLEY — operational/managerial control, NOT APPLICABLE, since 06/12/2017
• ANDERSON, HALLEY — adp of the snf, NOT APPLICABLE, since 02/06/2025
• BARNES, ERIC — corporate officer, NOT APPLICABLE, since 10/01/2022
• BARNES, ERIC — managing control - governing body, NOT APPLICABLE, since 10/01/2022
• BIGELOW, SHARON — managing control - governing body, NOT APPLICABLE, since 10/01/2023
• BIGELOW, SHARON — corporate officer, NOT APPLICABLE, since 10/01/2023
• BLICKHAN, GARY — corporate director, NOT APPLICABLE, since 10/01/2015
• BLICKHAN, GARY — managing control - governing body, NOT APPLICABLE, since 10/01/2015
• CANFIELD, BRIAN — managing control - governing body, NOT APPLICABLE, since 10/01/2022
• CANFIELD, BRIAN — corporate director, NOT APPLICABLE, since 10/01/2022
• DANIELS, CHRIS — corporate officer, NOT APPLICABLE, since 10/01/2018
• DANIELS, CHRIS — managing control - governing body, NOT APPLICABLE, since 10/01/2018
• DORIAN, MATTHEW — corporate officer, NOT APPLICABLE, since 05/24/2021
• DURANTE, BRIAN — managing control - governing body, NOT APPLICABLE, since 10/01/2022
• DURANTE, BRIAN — corporate director, NOT APPLICABLE, since 10/01/2022
• GABRIEL, MARTIN — corporate director, NOT APPLICABLE, since 10/01/2021
• GABRIEL, MARTIN — managing control - governing body, NOT APPLICABLE, since 10/01/2021
• GIBBS, PATRICIA — managing control - governing body, NOT APPLICABLE, since 10/01/2021
• GIBBS, PATRICIA — corporate director, NOT APPLICABLE, since 10/01/2021
• HIGGINS, SHARON — corporate director, NOT APPLICABLE, since 10/01/2016
• HIGGINS, SHARON — managing control - governing body, NOT APPLICABLE, since 10/01/2016
• KERN, KELLY — corporate director, NOT APPLICABLE, since 10/01/2024
• KERN, KELLY — managing control - governing body, NOT APPLICABLE, since 10/01/2024
• MCLEOD, EMMA — operational/managerial control, NOT APPLICABLE, since 02/22/2022
• MCLEOD, EMMA — adp of the snf, NOT APPLICABLE, since 02/22/2022
• OTT, JOSEPH — corporate director, NOT APPLICABLE, since 10/01/2019
• OTT, JOSEPH — managing control - governing body, NOT APPLICABLE, since 10/01/2019
• RILEY, RANDY — corporate director, NOT APPLICABLE, since 10/01/2015
• RILEY, RANDY — managing control - governing body, NOT APPLICABLE, since 10/01/2015
• WAVERING, STEVE — corporate director, NOT APPLICABLE, since 10/01/2024
• WAVERING, STEVE — managing control - governing body, NOT APPLICABLE, since 10/01/2024
• WHITE, TIM — corporate director, NOT APPLICABLE, since 10/01/2022
• WHITE, TIM — managing control - governing body, NOT APPLICABLE, since 10/01/2022