01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-09-06 | 0 | 2024-09-06 | 0 |
| Cycle 2 | 2023-10-19 | 3 | 2023-10-19 | 1 |
| Cycle 3 | 2022-07-14 | 0 | 2022-07-14 | 1 |
CMS CCN 2657702026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Good Samaritan Care Center
403 West Main · Cole Camp, MO 65325 · Benton County
Certified beds72CMS provider file
Recent citation rows5current 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.
02 / CITATION DETAIL
5 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2023-10-19 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-11-242023-10-19 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-11-282023-10-19 · 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 · 2023-11-282023-10-19 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2023-11-242022-07-14 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2022-08-0503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- GOOD SAMARITAN NURSING HOMEOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 10/11/2011
- HARMS, RUSSELLIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/27/2021
- HOLMAN, CHRISTINAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/27/2025
- KREISEL, TIMOTHYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/27/2021
- LPSEN, MONAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/27/2021
- POPPEN, KATHERINEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/02/2024
- ENGLES, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/07/2023
- HARMS, RUSSELLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/27/2021
- HOLMAN, CHRISTINAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/27/2025
- KREISEL, TIMOTHYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/27/2021
- LPSEN, MONAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/27/2021
- POPPEN, KATHERINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/02/2024
- REHMER, FRANCISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/27/2021
- JACKSON, SARAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/01/2021
- OSBURN, SANDRAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/02/2020
- ROEHRS, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2023
- THORNTON, DEAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/11/2023
- GOOD SAMARITAN NURSING HOMEOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/02/1967
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
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.89per resident day
RN hours0.58per resident day
Weekend nurse hours3.56per resident day
Staff turnover15.6%CMS reported field
06 / LOCAL RECORDS
Open the Missouri ledger →Other published facilities nearby
No second facility in the same city met the directory rule.