C74

GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE

Grade C 74/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
2/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

43

Ownership

Non profit - Corporation

Total Fines

$16,838

Last Survey

N/A

1156 HIGHWAY 14, ELLSWORTH, KS 67439
7854723167

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.71h
LPN
0.61h
CNA
2.60h
Total
3.92h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

SANFORD

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2019

100%

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

MART, AMBER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

MORRISON, TONY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

SLOMKA, JERZY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2022

BROWN, GEORGE

IndividualCORPORATE DIRECTORSince Jan 2025

DYKHOUSE, DANA

IndividualCORPORATE DIRECTORSince May 2024

ENGBRECHT, WESLEY

IndividualCORPORATE DIRECTORSince May 2024

GASSEN, WILLIAM

IndividualCORPORATE DIRECTORSince May 2024

GULSVIG, NEIL

IndividualCORPORATE DIRECTORSince May 2024

HERSETH SANDLIN, STEPHANIE

IndividualCORPORATE DIRECTORSince May 2024

LUNDEEN, MARK

IndividualCORPORATE DIRECTORSince May 2024

MCCAUSLAND, MAUREEN

IndividualCORPORATE DIRECTORSince Jan 2025

MOLBERT, LAURIS

IndividualCORPORATE DIRECTORSince May 2024

NORTH, ANDREW

IndividualCORPORATE DIRECTORSince May 2024

SCHIEFFER, KEVIN

IndividualCORPORATE DIRECTORSince Jan 2025

SHULKIN, DAVID

IndividualCORPORATE DIRECTORSince May 2024

TEIKEN, BRENT

IndividualCORPORATE DIRECTORSince May 2024

VENTLING-HERRMANN, MARNIE

IndividualCORPORATE DIRECTORSince May 2024

WENZEL, THOMAS

IndividualCORPORATE DIRECTORSince Jan 2025

FLUIT, JOEL

IndividualCORPORATE OFFICERSince Oct 2022

GASSEN, WILLIAM

IndividualCORPORATE OFFICERSince May 2024

MIDDLETON, AIMEE

IndividualCORPORATE OFFICERSince Jan 2022

OLSON, NICHOLAS

IndividualCORPORATE OFFICERSince Apr 2024

SCHEMA, NATHAN

IndividualCORPORATE OFFICERSince Jan 2022

Penalties & Fines (2)

$16,838total fines
DateTypeDescriptionAmount
Aug 1, 2023Fine$8,190
May 23, 2023Fine$8,648

Health Inspection Deficiencies (24)

July 2, 2024Health10 deficiencies
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 31, 2024
0881DMinimal harm, Isolated

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Jul 31, 2024
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 31, 2024
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jul 31, 2024
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Jul 31, 2024
0699DMinimal harm, Isolated

Provide care or services that was trauma informed and/or culturally competent.

Quality of Life and Care Deficiencies

Corrected Jul 31, 2024
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Jul 31, 2024
0758EMinimal harm, Pattern

Implement 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.

Pharmacy Service Deficiencies

Corrected Jul 31, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Jul 31, 2024
0868FMinimal harm, Widespread

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Administration Deficiencies

Corrected Jul 31, 2024
August 1, 2023Health1 deficiency1 severe
0684GActual harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jul 30, 2023
May 23, 2023Health1 deficiency1 severe
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 18, 2023
March 7, 2023Health6 deficiencies
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 14, 2023
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 14, 2023
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Apr 14, 2023
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 14, 2023
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Apr 14, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 14, 2023
September 27, 2021Health6 deficiencies
0584EMinimal harm, Pattern

Honor 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.

Resident Rights Deficiencies

Corrected Oct 25, 2021
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Oct 25, 2021
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Oct 25, 2021
0758DMinimal harm, Isolated

Implement 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.

Pharmacy Service Deficiencies

Corrected Oct 25, 2021
0761FMinimal harm, Widespread

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.

Pharmacy Service Deficiencies

Corrected Oct 25, 2021
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Oct 25, 2021

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Frequently Asked Questions

What is the CareGrader rating for GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE?

GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE in ELLSWORTH, Kansas has a CareGrader grade of C (Average), with a composite score of 74 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE?

GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE have?

GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE has 24 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE been fined?

Yes. GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE has $16,838 in total fines from CMS enforcement actions across 2 penalties.

How many beds does GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE have?

GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE has 43 certified beds with approximately 38 current residents (88% occupancy). The facility is located at 1156 HIGHWAY 14, ELLSWORTH, Kansas 67439. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.