GOOD SAMARITAN SOCIETY -- FORT COLLINS VILLAGE

FORT COLLINS, CO · 64 beds · Non profit - Corporation

100 Trust Score
Grade: A+ LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star health inspection rating
  • 4-star staffing rating
  • Below-average deficiency count (4 vs 9 state avg)
  • No fines or penalties on record
  • Above-average RN staffing (1.29 hrs vs 0.88 state avg)

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
4
0.4x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

December 3, 2025

8 deficiencyies
F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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.

F0742 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

F0849 Potential Harm Scope/Severity: D

Administration Deficiencies

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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F0881 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Implement a program that monitors antibiotic use.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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.

F0742 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

F0849 Potential Harm Scope/Severity: D

Administration Deficiencies

Show details

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F0881 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Implement a program that monitors antibiotic use.

January 8, 2024

8 deficiencyies
F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

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

F0881 Potential Harm Scope/Severity: E

Infection Control Deficiencies

Show details

Implement a program that monitors antibiotic use.

F0883 Potential Harm Scope/Severity: E

Infection Control Deficiencies

Show details

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

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

F0881 Potential Harm Scope/Severity: E

Infection Control Deficiencies

Show details

Implement a program that monitors antibiotic use.

F0883 Potential Harm Scope/Severity: E

Infection Control Deficiencies

Show details

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

September 20, 2022

2 deficiencyies
F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure medication error rates are not 5 percent or greater.

F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure medication error rates are not 5 percent or greater.

See full violation history →

Staffing

1.29
RN hrs/res/day
0.39
LPN hrs/res/day
2.33
CNA hrs/res/day
3.40
Weekend hrs/res/day
35%
Total nurse turnover
21%
RN turnover

A nurse checks on each resident roughly every 6.0 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Corporation Chain: GOOD SAMARITAN SOCIETY
  • SANFORD

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2019

    100% Organization
  • THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2019

    Organization
  • CAIN, JAMES

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • DYKHOUSE, DANA

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • ENGBRECHT, WESLEY

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • GASSEN, WILLIAM

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • GULSVIG, NEIL

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • HERSETH SANDLIN, STEPHANIE

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • LUNDEEN, MARK

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • MOLBERT, LAURIS

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • NORTH, ANDREW

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • SHULKIN, DAVID

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • TEIKEN, BRENT

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • VENTLING-HERRMANN, MARNIE

    CORPORATE DIRECTOR

    Since since 05/30/2024

    Individual
  • FLUIT, JOEL

    CORPORATE OFFICER

    Since since 10/01/2022

    Individual
  • GASSEN, WILLIAM

    CORPORATE OFFICER

    Since since 05/30/2024

    Individual
  • MIDDLETON, AIMEE

    CORPORATE OFFICER

    Since since 01/27/2022

    Individual
  • OLSON, NICHOLAS

    CORPORATE OFFICER

    Since since 04/08/2024

    Individual
  • ROGERS, MICHAEL

    CORPORATE OFFICER

    Since since 06/13/2022

    Individual
  • SCHEMA, NATHAN

    CORPORATE OFFICER

    Since since 01/01/2022

    Individual
  • BERMINGHAM, ROGER

    CONTRACTED MANAGING EMPLOYEE

    Since since 02/09/2018

    Individual
  • DUVALL, DAVID

    W-2 MANAGING EMPLOYEE

    Since since 05/10/2021

    Individual
  • MORRISON, TONY

    W-2 MANAGING EMPLOYEE

    Since since 01/01/2019

    Individual

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