Good Samaritan Society Luther Manor

1500 W 38th St · Sioux Falls, SD · 57105 · 6053361997

92 certified beds For profit - Corporation Chain: Good Samaritan Society

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • 5 citations involved actual harm to residents.

Red flags

4 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 70
Staffing 20% 76
Federal penalties 15% 58
Trend 10% 22
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day4.033.48 min · 4.1 strong
RN hours / resident-day0.910.55–0.75
Weekend hours / resident-day3.38≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)2 · $26,266

Inspection citations (20 in the current record)

  • Actual harm · G April 1, 2026 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected March 23, 2026 · Pharmacy Service

  • Potential for harm · E April 1, 2026 · found via complaint

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

    Corrected April 24, 2026 · Quality of Life and Care

  • Actual harm · G March 5, 2026

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 1, 2026 · Quality of Life and Care

  • Actual harm · G March 5, 2026 · found via complaint

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

    Corrected April 1, 2026 · Quality of Life and Care

  • Potential for harm · D March 5, 2026 · found via complaint

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

    Corrected April 1, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 5, 2026

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected April 1, 2026 · Resident Rights

  • Potential for harm · D March 5, 2026

    Ensure each resident receives an accurate assessment.

    Corrected April 1, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 5, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 1, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 5, 2026

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected April 1, 2026 · Quality of Life and Care

  • Potential for harm · E March 5, 2026 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 1, 2026 · Pharmacy Service

  • Potential for harm · D July 23, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 15, 2025 · Quality of Life and Care

  • Actual harm · G June 18, 2025 · found via complaint

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

    Corrected July 18, 2025 · Quality of Life and Care

  • Potential for harm · D June 18, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 18, 2025 · Quality of Life and Care

  • Potential for harm · D January 23, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 15, 2025 · Quality of Life and Care

  • Actual harm · G October 17, 2024

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

    Corrected November 12, 2024 · Quality of Life and Care

  • Potential for harm · D October 17, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 12, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E October 17, 2024

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

    Corrected November 12, 2024 · Nutrition and Dietary

  • Potential for harm · E September 8, 2023

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

    Corrected October 26, 2023 · Resident Rights

  • Potential for harm · E September 8, 2023

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected October 26, 2023 · Quality of Life and Care

  • Potential for harm · D September 8, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected October 26, 2023 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
June 18, 2025Fine$14,800
October 17, 2024Fine$11,466

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435044 · certified since June 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.