Velarion Records

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Skilled nursing facility · CMS certification number 285285

Good Samaritan Society - Grand Island Village

Grand Island, Nebraska · Medicare and Medicaid

Certified beds, as filed in Care Compare: 67

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 December 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$9,775,321CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,245,107CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,530,214CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,883,720CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,353,506CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,631,970CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$721,536CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$991,924 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components89CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components32,574CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,042CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,884CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days12,181CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components23,107CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges64CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges93CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges165CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components322CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days95.53CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days71.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1444718, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 February 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$9,459,214CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,512,914CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,946,300CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,203,646CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,257,346CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,525,084CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$732,262CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$842,207 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components89CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,137CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components257CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days110.68CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days90.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403795, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 August 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$8,193,763CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,016,771CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,176,992CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,345,556CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,168,564CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,490,411CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$678,153CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$778,249 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components89CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,724CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components146CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days121.15CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days155.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361330, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$8,704,840CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,464,717CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,240,123CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,880,172CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,640,049CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,501,616CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$138,433CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$325,531 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components89CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,151CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components147CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days108.53CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days157.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1327008, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,439,683CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,054,005CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,385,678CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,239,934CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,854,256CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,509,820CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$344,436CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$356,551 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components91CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,094CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components119CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days139.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days210.87CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1290991, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 December 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$9,240,699CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,971,131CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,269,568CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,904,980CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,635,412CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,374,165CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$261,247CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$308,257 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components91CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,949CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components139CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days550.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days208.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1307705, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$10,934,443CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,224,730CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,709,713CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,112,803CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$403,090CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$441,630CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$38,540CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$111,501 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components91CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,781CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components367CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days326.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days81.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1242091, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$10,699,763CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,109,274CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,590,489CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,844,996CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$254,507CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$281,610CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$27,103CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$22,584 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components91CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,779CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components253CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days233.04CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200542, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$9,897,097CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,465,594CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,431,503CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,013,298CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$581,795CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$167,221CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$414,574CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$341,245 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components91CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,578CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components225CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days401.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days131.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1168791, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 March 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$9,667,587CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,469,654CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,197,933CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,639,319CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$558,614CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$191,009CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$749,623CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $689,321 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components85CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,494CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components241CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days382CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days118.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1154302, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 May 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$5,944,827CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$829,781CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,115,046CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,768,229CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$653,183CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$187,158CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$466,025CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$500,318 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components85CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,817CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components130CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days973CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days152.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1091754, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 August 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$5,149,107CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$578,726CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,570,381CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,410,546CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$840,165CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$237,312CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$602,853CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$618,951 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components54CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,516CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components136CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days489.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days136.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1075156, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 July 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$4,657,900CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$516,734CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,141,166CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,043,903CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$902,737CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$153,878CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$748,859CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$698,541 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,398CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components136CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days217.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days135.28CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044053, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 May 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$4,339,353CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$740,667CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,598,686CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,111,896CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,513,210CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$195,259CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,317,951CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,324,262 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,600CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components170CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days75.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days103.53CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1030374, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 September 2010 to 31 December 2010 — a reporting period of 121 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 19 July 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$969,675CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,203,148CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$2,233,473CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$205,807CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$2,027,666 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components4,940CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components28CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days67.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days144CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days176.43CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 410810, read from the public cost report file SNFFY2010.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
SANFORD5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2019
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2019
HUSEN, STEVENCONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 11/07/2018
CAIN, JAMESCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
DYKHOUSE, DANACORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
ENGBRECHT, WESLEYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
GASSEN, WILLIAMCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
GULSVIG, NEILCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
HERSETH SANDLIN, STEPHANIECORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
LUNDEEN, MARKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
MOLBERT, LAURISCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
NORTH, ANDREWCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
SHULKIN, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
TEIKEN, BRENTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
VENTLING-HERRMANN, MARNIECORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
FLUIT, JOELCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/01/2022
GASSEN, WILLIAMCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/30/2024
MIDDLETON, AIMEECORPORATE OFFICERIndividualNOT APPLICABLEsince 01/27/2022
OLSON, NICHOLASCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/08/2024
ROGERS, MICHAELCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/13/2022
SCHEMA, NATHANCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2022
MORRISON, TONYW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/01/2019
MUIR, DANIELLEW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 04/29/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20100311000722).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
SANFORDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
STEVEN L HUSENIndividualCONTRACTED MANAGING EMPLOYEE011/7/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANDREW STEWART NORTHIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRENT GERARD TEIKENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANA JAMES DYKHOUSEIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID JONATHAN SHULKINIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES EDWARD CAINIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAURIS NELSON MOLBERTIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK ALLEN LUNDEENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARNIE LYNN VENTLING-HERRMANNIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEIL LESLIE GULSVIGIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEPHANIE MARIE HERSETH SANDLINIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WESLEY OWEN ENGBRECHTIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM JOSEPH GASSENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AIMEE NICOLE MIDDLETONIndividualCORPORATE OFFICER01/27/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL ADAM FLUITIndividualCORPORATE OFFICER010/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL ROGERSIndividualCORPORATE OFFICER06/13/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NATHAN THOMAS SCHEMAIndividualCORPORATE OFFICER01/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NICHOLAS WAYNE OLSONIndividualCORPORATE OFFICER04/8/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM JOSEPH GASSENIndividualCORPORATE OFFICER05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANIELLE MUIRIndividualW-2 MANAGING EMPLOYEE04/29/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TONY LEE MORRISONIndividualW-2 MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
130 December 202530 December 2025105
226 September 202426 September 202479
316 November 202316 November 202366

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

23 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
1 June 2026HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DYesDeficient, Provider has date of correction30 June 2026
30 December 2025HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correction6 February 2026
30 December 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correction6 February 2026
30 December 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DNoDeficient, Provider has date of correction6 February 2026
30 December 2025HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedENoDeficient, Provider has date of correction6 February 2026
30 December 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction6 February 2026
30 December 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction6 February 2026
30 December 2025HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correction6 February 2026
30 December 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction6 February 2026
30 December 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction6 February 2026
5 May 2025HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DYesDeficient, Provider has date of correction9 June 2025
5 May 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction9 June 2025
27 March 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction9 May 2025
26 September 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GNoDeficient, Provider has date of correction21 October 2024
26 September 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correction21 October 2024
26 September 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction21 October 2024
3 September 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction21 October 2024
16 November 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction22 December 2023
16 November 2023HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correction22 December 2023
16 November 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.ENoDeficient, Provider has date of correction22 December 2023
16 November 2023HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FNoDeficient, Provider has date of correction22 December 2023
16 November 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction22 December 2023
16 November 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction22 December 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
3 September 2024Fine$10,03385962

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid Services2010-09-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishHall
Telephone Number3083843535
Chain NameGOOD SAMARITAN SOCIETY
Chain ID726
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds67
Average Number of Residents per Day55.6
Overall Rating1
Health Inspection Rating2
QM Rating1
Long-Stay QM Rating1
Short-Stay QM Rating1
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: MARK ALLEN LUNDEEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Good Samaritan Society - Grand Island Village

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