GOOD SAMARITAN HOME
2130 HARRISON STREET
QUINCY, IL, 62301
2172238717
CCN: 145773
5
Overall4
Health5
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| WAVERING, STEVE | CORPORATE DIRECTOR | NOT APPLICABLE |
| WHITE, TIM | CORPORATE DIRECTOR | NOT APPLICABLE |
| BLICKHAN, GARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| CANFIELD, BRIAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| DURANTE, BRIAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| GABRIEL, MARTIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| GIBBS, PATRICIA | CORPORATE DIRECTOR | NOT APPLICABLE |
| HIGGINS, SHARON | CORPORATE DIRECTOR | NOT APPLICABLE |
| KERN, KELLY | CORPORATE DIRECTOR | NOT APPLICABLE |
| OTT, JOSEPH | CORPORATE DIRECTOR | NOT APPLICABLE |
| RILEY, RANDY | CORPORATE DIRECTOR | NOT APPLICABLE |
| DORIAN, MATTHEW | CORPORATE OFFICER | NOT APPLICABLE |
| BIGELOW, SHARON | CORPORATE OFFICER | NOT APPLICABLE |
| DANIELS, CHRIS | CORPORATE OFFICER | NOT APPLICABLE |
| BARNES, ERIC | CORPORATE OFFICER | NOT APPLICABLE |
| MCLEOD, EMMA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ANDERSON, HALLEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-08-19 | Fine | $27K |
Health Deficiencies (17)
2025-09-19 · Health
G
F580 · 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.
2025-07-17 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2024-10-27 · Health
D
F625 · 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.
D
F623 · 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.
D
F622 · 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.
2024-08-15 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-11-14 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-08-19 · Health
D
F758 · 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.
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-04-04 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2022-09-08 · Health
E
F887 · 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.
K
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F805 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.54
RN Hrs/Resident/Day0.54
0.96
LPN Hrs/Resident/Day0.81
0.74
CNA Hrs/Resident/Day2.33
2.84
PT Hrs/Resident/Day0.12
0.05
Data as of 2026-03-01