CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2451492026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Good Samaritan Ambassador

CMS lists this provider in New Hope, MN, with 77 certified beds, an overall rating of 5/5, and 10 citation rows in the current August 2026 release.

8100 Medicine Lake Road · New Hope, MN 55427 · Hennepin County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds77CMS provider file
Recent citation rows10current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Good Samaritan Ambassador survey cycles in this release

CMS supplies 3 survey-cycle rows for Good Samaritan Ambassador in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-04-0102026-04-012
Cycle 22025-01-0922025-01-094
Cycle 32024-03-0702024-03-072
02 / CITATION DETAIL

Good Samaritan Ambassador citations in the current release

CMS reports 10 citation rows, including 0 with G–L codes and 0 with J–L codes.

0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag code appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-04-01 · FIREK0353Severity B · pattern; potential for minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2026-04-17
2026-04-01 · FIREK0355Severity B · pattern; potential for minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2026-04-17
2025-01-09 · HEALTHF0582Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Correction field: Deficient, Provider has date of correction · 2025-02-14
2025-01-09 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-02-14
2025-01-09 · FIREK0225Severity B · pattern; potential for minimal harm

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Correction field: Deficient, Provider has date of correction · 2025-02-21
2025-01-09 · FIREK0291Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2025-01-27
2025-01-09 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2025-02-21
2025-01-09 · FIREK0712Severity C · widespread; potential for minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2025-01-28
2024-03-07 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2024-04-30
2024-03-07 · FIREK0374Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-04-30
03 / ENFORCEMENT FILE

CMS penalties reported for Good Samaritan Ambassador

The August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Good Samaritan Ambassador

CMS matched 58 ownership disclosure rows to Good Samaritan Ambassador; names and roles are reported fields, not independently verified identities.

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Good Samaritan Ambassador

CMS reports 4.56 total nurse hours and 1.79 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.56per resident day
RN hours1.79per resident day
Weekend nurse hours4.00per resident day
Staff turnover32.3%CMS reported field
06 / LOCAL RECORDS

Facilities published near Good Samaritan Ambassador

The local peer set contains 1 other published facility record near New Hope, MN, with separate bed, rating, and citation-row fields.

Open the New Hope ledger →
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.