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Starfile / Florida

THE GOOD SAMARITAN SOCIETY-KISSIMMEE VILLAGE

1500 SOUTHGATE DRIVE, KISSIMMEE, FL 34746 · CCN 105559

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★☆ 4
Staffing
★☆☆☆☆ 1

Facility

Ownership type
Non profit - Corporation
Certified beds
161
Avg residents/day
134.1
Phone
4078467201

Inspection history vs Florida & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityFlorida avgNational avgvs state
12025-12-1177.39.5-0.3 better
22024-02-0146.39.8-2.3 better
32022-03-24136.09.3+7.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning2
Resident rights1
Nutrition and dietary2
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)17.6%
RN staffing (reported)19.0%
Total nurse staffing (adjusted)

Fines & penalties

Total fines
$276,319
Number of fines
3
Number of penalties
3
Payment denials
0

Chain

Chain
GOOD SAMARITAN SOCIETY
Facilities in chain
89
Chain avg overall
3.00 / 5

Inspection citations (24)4 immediate jeopardy2 actual harm

  1. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-12-11 · Health · corrected 2026-01-23

    Potential for more than minimal harm

  2. DF0641Ensure each resident receives an accurate assessment.2025-12-11 · Health · corrected 2026-01-23

    Potential for more than minimal harm

  3. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-12-11 · Health · corrected 2026-01-23

    Potential for more than minimal harm

  4. DF0679Provide activities to meet all resident's needs.2025-12-11 · Health · corrected 2026-01-23

    Potential for more than minimal harm

  5. DF0759Ensure medication error rates are not 5 percent or greater.2025-12-11 · Health · corrected 2026-01-23

    Potential for more than minimal harm

  6. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-12-11 · Health · corrected 2026-01-23

    Potential for more than minimal harm

  7. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-11 · Health · corrected 2026-01-23

    Potential for more than minimal harm

  8. DF0610Respond appropriately to all alleged violations.2024-02-01 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  9. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-02-01 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  10. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-01 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  11. DF0758Implement 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.2024-02-01 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  12. GF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-11-10 · Health · corrected 2023-12-04

    Actual harm

  13. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-10 · Health · corrected 2023-09-08

    Immediate jeopardy

  14. JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-10 · Health · corrected 2023-09-08

    Immediate jeopardy

  15. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-10 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  16. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-10 · Health · corrected 2023-10-30

    Immediate jeopardy

  17. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-08-10 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  18. JF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-08-10 · Health · corrected 2023-10-30

    Immediate jeopardy

  19. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-05-30 · Health · corrected 2023-06-09

    Potential for more than minimal harm

  20. GF0760Ensure that residents are free from significant medication errors.2023-05-30 · Health · corrected 2023-06-09

    Actual harm

  21. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-03-24 · Health · corrected 2022-04-25

    Potential for more than minimal harm

  22. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-03-24 · Health · corrected 2022-04-25

    Potential for more than minimal harm

  23. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-03-24 · Health · corrected 2022-04-25

    Potential for more than minimal harm

  24. CF0732Post nurse staffing information every day.2022-03-24 · Health · corrected 2022-04-25

    Potential for minimal harm

Ownership

OwnerTypeRolePercentSince
SANFORDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2019-01-01
CAIN, JAMESIndividualCORPORATE DIRECTOR2024-05-30
DYKHOUSE, DANAIndividualCORPORATE DIRECTOR2024-05-30
ENGBRECHT, WESLEYIndividualCORPORATE DIRECTOR2024-05-30
GASSEN, WILLIAMIndividualCORPORATE DIRECTOR2024-05-30
GULSVIG, NEILIndividualCORPORATE DIRECTOR2024-05-30
HERSETH SANDLIN, STEPHANIEIndividualCORPORATE DIRECTOR2024-05-30
LUNDEEN, MARKIndividualCORPORATE DIRECTOR2024-05-30
MOLBERT, LAURISIndividualCORPORATE DIRECTOR2024-05-30
NORTH, ANDREWIndividualCORPORATE DIRECTOR2024-05-30
SHULKIN, DAVIDIndividualCORPORATE DIRECTOR2024-05-30
TEIKEN, BRENTIndividualCORPORATE DIRECTOR2024-05-30
VENTLING-HERRMANN, MARNIEIndividualCORPORATE DIRECTOR2024-05-30
GASSEN, WILLIAMIndividualCORPORATE OFFICER2024-05-30
MIDDLETON, AIMEEIndividualCORPORATE OFFICER2022-01-27
OLSON, NICHOLASIndividualCORPORATE OFFICER2024-04-08
ROGERS, MICHAELIndividualCORPORATE OFFICER2022-06-13
SCHEMA, NATHANIndividualCORPORATE OFFICER2022-01-01
CHAPPEL, CHRISTOPHERIndividualCONTRACTED MANAGING EMPLOYEE2018-09-17
FLUIT, JOELIndividualW-2 MANAGING EMPLOYEE2022-10-01
MORRISON, TONYIndividualW-2 MANAGING EMPLOYEE2019-01-01
SPIES, DORENEIndividualW-2 MANAGING EMPLOYEE2022-09-26

Other facilities in KISSIMMEE

NameOverallBeds
AVIATA AT KISSIMMEE GARDENS★★★★☆120
KISSIMMEE HEALTH AND REHABILITATION CENTER★★★☆☆59
KISSIMMEE NURSING & REHABILITATION CENTER★★★☆☆120
SOLARIS HEALTHCARE CELEBRATION★★★☆☆120
TERRACE OF KISSIMMEE, THE★☆☆☆☆120

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.