Good Samaritan Society - Grand Island Village

Grand Island, NE · 67 beds · Non profit - Corporation

39 Trust Score
Grade: F HIGH Risk → Stable

Red Flags

  • 1 citation(s) where residents suffered actual harm

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★★★☆☆
Health Inspection
9
1.3x state avg
Deficiencies
$10,033
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

December 29, 2025

11 deficiencyies
F0628 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F0628 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Ensure that residents are fully informed and understand their health status, care and treatments.

F0605 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0655 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0759 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure medication error rates are not 5 percent or greater.

F0812 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

May 4, 2025

2 deficiencyies
F0726 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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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.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

March 26, 2025

1 deficiency
F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

September 25, 2024

3 deficiencyies
F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

September 2, 2024

1 deficiency
F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

November 15, 2023

2 deficiencyies
F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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

See full violation history →

Staffing

0.53
RN hrs/res/day
0.44
LPN hrs/res/day
2.84
CNA hrs/res/day
3.36
Weekend hrs/res/day
56%
Total nurse turnover
33%
RN turnover

A nurse checks on each resident roughly every 6.3 hours on average.

Fines & Penalties

  • Fine Sep 2, 2024
    $10,033
Total $10,033

Ownership

Non profit - Corporation Chain: GOOD SAMARITAN SOCIETY
  • SANFORD

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2019

    NO PERCENTAGE PROVIDED Organization
  • THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2019

    NO PERCENTAGE PROVIDED 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
  • HUSEN, STEVEN

    CONTRACTED MANAGING EMPLOYEE

    Since since 11/07/2018

    Individual
  • MORRISON, TONY

    W-2 MANAGING EMPLOYEE

    Since since 01/01/2019

    Individual
  • MUIR, DANIELLE

    W-2 MANAGING EMPLOYEE

    Since since 04/29/2024

    Individual

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