D68

Good Samaritan Society - Grand Island Village

Grade D 68/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
1/5
Health Insp.
2/5
Quality
1/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

67

Ownership

Non profit - Corporation

Total Fines

$10,033

Last Survey

N/A

4061 & 4055 Timberline Street & 2912 Good Samarita, Grand Island, NE 68803
3083843535

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.53h
LPN
0.44h
CNA
2.84h
Total
3.81h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

SANFORD

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2019

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2019

CAIN, JAMES

IndividualCORPORATE DIRECTORSince May 2024

DYKHOUSE, DANA

IndividualCORPORATE DIRECTORSince May 2024

ENGBRECHT, WESLEY

IndividualCORPORATE DIRECTORSince May 2024

GASSEN, WILLIAM

IndividualCORPORATE DIRECTORSince May 2024

GULSVIG, NEIL

IndividualCORPORATE DIRECTORSince May 2024

HERSETH SANDLIN, STEPHANIE

IndividualCORPORATE DIRECTORSince May 2024

LUNDEEN, MARK

IndividualCORPORATE DIRECTORSince May 2024

MOLBERT, LAURIS

IndividualCORPORATE DIRECTORSince May 2024

NORTH, ANDREW

IndividualCORPORATE DIRECTORSince May 2024

SHULKIN, DAVID

IndividualCORPORATE DIRECTORSince May 2024

TEIKEN, BRENT

IndividualCORPORATE DIRECTORSince May 2024

VENTLING-HERRMANN, MARNIE

IndividualCORPORATE DIRECTORSince May 2024

FLUIT, JOEL

IndividualCORPORATE OFFICERSince Oct 2022

GASSEN, WILLIAM

IndividualCORPORATE OFFICERSince May 2024

MIDDLETON, AIMEE

IndividualCORPORATE OFFICERSince Jan 2022

OLSON, NICHOLAS

IndividualCORPORATE OFFICERSince Apr 2024

ROGERS, MICHAEL

IndividualCORPORATE OFFICERSince Jun 2022

SCHEMA, NATHAN

IndividualCORPORATE OFFICERSince Jan 2022

HUSEN, STEVEN

IndividualCONTRACTED MANAGING EMPLOYEESince Nov 2018

MORRISON, TONY

IndividualW-2 MANAGING EMPLOYEESince Jan 2019

MUIR, DANIELLE

IndividualW-2 MANAGING EMPLOYEESince Apr 2024

Penalties & Fines (1)

$10,033total fines
DateTypeDescriptionAmount
Sep 3, 2024Fine$10,033

Health Inspection Deficiencies (23)

May 5, 2025Health2 deficiencies
0726DMinimal harm, Isolated

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Jun 9, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 9, 2025
March 27, 2025Health1 deficiency
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected May 9, 2025
September 26, 2024Health3 deficiencies1 severe
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 21, 2024
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Oct 21, 2024
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 21, 2024
September 3, 2024Health1 deficiency
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 21, 2024
November 16, 2023Health6 deficiencies
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Dec 22, 2023
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Dec 22, 2023
0760EMinimal harm, Pattern

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Dec 22, 2023
0801FMinimal harm, Widespread

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Nutrition and Dietary Deficiencies

Corrected Dec 22, 2023
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Dec 22, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 22, 2023
May 18, 2023Health1 deficiency
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 22, 2023
December 13, 2022Health9 deficiencies1 severe
0578EMinimal harm, Pattern

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Jan 5, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 5, 2023
0686GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 5, 2023
0688DMinimal harm, Isolated

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Quality of Life and Care Deficiencies

Corrected Jan 5, 2023
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 5, 2023
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jan 5, 2023
0802FMinimal harm, Widespread

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Nutrition and Dietary Deficiencies

Corrected Jan 5, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 5, 2023
0882FMinimal harm, Widespread

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Infection Control Deficiencies

Corrected Jan 5, 2023

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Frequently Asked Questions

What is the CareGrader rating for Good Samaritan Society - Grand Island Village?

Good Samaritan Society - Grand Island Village in Grand Island, Nebraska has a CareGrader grade of D (Below Average), with a composite score of 68 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Good Samaritan Society - Grand Island Village?

Good Samaritan Society - Grand Island Village has an overall CMS star rating of 1 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Good Samaritan Society - Grand Island Village have?

Good Samaritan Society - Grand Island Village has 23 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Good Samaritan Society - Grand Island Village been fined?

Yes. Good Samaritan Society - Grand Island Village has $10,033 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Good Samaritan Society - Grand Island Village have?

Good Samaritan Society - Grand Island Village has 67 certified beds with approximately 49 current residents (73% occupancy). The facility is located at 4061 & 4055 Timberline Street & 2912 Good Samarita, Grand Island, Nebraska 68803. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.