GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE
1156 HIGHWAY 14, ELLSWORTH, KS 67439 · CCN 175231
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 43
- Avg residents/day
- 38.6
- Phone
- 7854723167
Inspection history vs Kansas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Kansas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-07-02 | 10 | 10.1 | 9.5 | -0.1 better |
| 2 | 2023-03-07 | 6 | 9.9 | 9.8 | -3.9 better |
| 3 | 2021-09-27 | 8 | 7.2 | 9.3 | +0.8 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Administration | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.41 | 48.9% |
| RN staffing (reported) | 0.61 | 50.0% |
| Total nurse staffing (adjusted) | 3.92 | — |
Fines & penalties
- Total fines
- $16,838
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- GOOD SAMARITAN SOCIETY
- Facilities in chain
- 89
- Chain avg overall
- 3.00 / 5
Inspection citations (24)2 actual harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-02 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-02 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-02 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2024-07-02 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-07-02 · Health · corrected 2024-07-31
Potential for more than minimal harm
- EF0758Implement 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.2024-07-02 · Health · corrected 2024-07-31
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-02 · Health · corrected 2024-07-31
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-07-02 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-07-02 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2024-07-02 · Health · corrected 2024-07-31
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-01 · Health · corrected 2023-07-30
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-23 · Health · corrected 2023-04-18
Actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-07 · Health · corrected 2023-04-14
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-07 · Health · corrected 2023-04-14
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-07 · Health · corrected 2023-04-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-07 · Health · corrected 2023-04-14
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-03-07 · Health · corrected 2023-04-14
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-03-07 · Health · corrected 2023-04-14
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2021-09-27 · Health · corrected 2021-10-25
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2021-09-27 · Health · corrected 2021-10-25
Potential for minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-09-27 · Health · corrected 2021-10-25
Potential for more than minimal harm
- 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.2021-09-27 · Health · corrected 2021-10-25
Potential for more than minimal harm
- FF0761Ensure 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.2021-09-27 · Health · corrected 2021-10-25
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-09-27 · Health · corrected 2021-10-25
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SANFORD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-01-01 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-01-01 |
| BAILEY, COURTNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-10-30 |
| MORRISON, TONY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| SLOMKA, JERZY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-01 |
| BROWN, GEORGE | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| DYKHOUSE, DANA | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| ENGBRECHT, WESLEY | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| GASSEN, WILLIAM | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| GULSVIG, NEIL | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| HERSETH SANDLIN, STEPHANIE | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| LUNDEEN, MARK | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| MCCAUSLAND, MAUREEN | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| MOLBERT, LAURIS | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| NORTH, ANDREW | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| SCHIEFFER, KEVIN | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| SHULKIN, DAVID | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| TEIKEN, BRENT | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| VENTLING-HERRMANN, MARNIE | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| WENZEL, THOMAS | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| FLUIT, JOEL | Individual | CORPORATE OFFICER | — | 2022-10-01 |
| GASSEN, WILLIAM | Individual | CORPORATE OFFICER | — | 2024-05-30 |
| MIDDLETON, AIMEE | Individual | CORPORATE OFFICER | — | 2022-01-27 |
| OLSON, NICHOLAS | Individual | CORPORATE OFFICER | — | 2024-04-08 |
| SCHEMA, NATHAN | Individual | CORPORATE OFFICER | — | 2022-01-01 |
Other facilities in ELLSWORTH
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.