Good Samaritan Society - Grand Island Village
4061 & 4055 Timberline Street & 2912 Good Samarita, Grand Island, NE 68803 · CCN 285285
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 67
- Avg residents/day
- 49.8
- Phone
- 3083843535
Inspection history vs Nebraska & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Nebraska avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-30 | 12 | 6.7 | 9.5 | +5.3 worse |
| 2 | 2024-09-26 | 4 | 6.1 | 9.8 | -2.1 better |
| 3 | 2023-11-16 | 7 | 5.4 | 9.3 | +1.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.94 | 56.4% |
| RN staffing (reported) | 0.55 | 33.3% |
| Total nurse staffing (adjusted) | 3.81 | — |
Fines & penalties
- Total fines
- $10,033
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- GOOD SAMARITAN SOCIETY
- Facilities in chain
- 89
- Chain avg overall
- 3.00 / 5
Inspection citations (23)1 actual harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-12-30 · Health · corrected 2026-02-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-30 · Health · corrected 2026-02-06
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-12-30 · Health · corrected 2026-02-06
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-12-30 · Health · corrected 2026-02-06
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-12-30 · Health · corrected 2026-02-06
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-30 · Health · corrected 2026-02-06
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-12-30 · Health · corrected 2026-02-06
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-30 · Health · corrected 2026-02-06
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-12-30 · Health · corrected 2026-02-06
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-05-05 · Health · corrected 2025-06-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-05-05 · Health · corrected 2025-06-09
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-27 · Health · corrected 2025-05-09
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-26 · Health · corrected 2024-10-21
Actual harm
- DF0761Ensure 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.2024-09-26 · Health · corrected 2024-10-21
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-09-26 · Health · corrected 2024-10-21
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-09-03 · Health · corrected 2024-10-21
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-11-16 · Health · corrected 2023-12-22
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-11-16 · Health · corrected 2023-12-22
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2023-11-16 · Health · corrected 2023-12-22
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-11-16 · Health · corrected 2023-12-22
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.2023-11-16 · Health · corrected 2023-12-22
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-11-16 · Health · corrected 2023-12-22
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-05-18 · Health · corrected 2023-06-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SANFORD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2019-01-01 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2019-01-01 |
| CAIN, JAMES | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| 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 |
| MOLBERT, LAURIS | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| NORTH, ANDREW | Individual | CORPORATE DIRECTOR | — | 2024-05-30 |
| 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 |
| 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 |
| ROGERS, MICHAEL | Individual | CORPORATE OFFICER | — | 2022-06-13 |
| SCHEMA, NATHAN | Individual | CORPORATE OFFICER | — | 2022-01-01 |
| HUSEN, STEVEN | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2018-11-07 |
| MORRISON, TONY | Individual | W-2 MANAGING EMPLOYEE | — | 2019-01-01 |
| MUIR, DANIELLE | Individual | W-2 MANAGING EMPLOYEE | — | 2024-04-29 |
Other facilities in Grand Island
| Name | Overall | Beds |
|---|---|---|
| CHI Health St. Francis | ★★★★☆ | 36 |
| Tiffany Square | ★★★★☆ | 103 |
| Emerald Nursing & Rehab Lakeview | ★★☆☆☆ | 95 |
| Tabitha At Prairie Commons | ★★☆☆☆ | 36 |
| The Cedars at Broadwell | ★☆☆☆☆ | 76 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.