Contact Information

GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
1156 HIGHWAY 14
ELLSWORTH, KS 67439
(785) 472-3167
Non profit - Church related
Medicare certification date2: November 01, 1992
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  52 residents

  59 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident and Family Council

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 1
Facility reported incidents 2
Number of fines 2
Number of penalties 3
Number of payment denials 1

Staffing

Staffing for 52 residents Kansas Average National Average
Hours by Registered Nurse (RN) per resident per day 28 minutes 43 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 33 minutes 41 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 19 minutes 2 hours, 38 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 7 minutes 5 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

DIRECTOR

  • BROWN, ELWIN
  • CONNELLY, LIANE
  • DEUTH, MICHAEL
  • GRINDAL, HARALD
  • GULSVIG, NEIL
  • GUSTAFSON, KARI
  • HALAAS, GWEN
  • HILDEBRANDT, TERESA
  • HOLT, JOHN
  • JOHNSON, CHRISTOPHER
  • JUFFER, MICHELE
  • MATSON, GUY
  • RACEK, JOHN
  • SAMUELSON, PHILIP
  • ST MARY, SHARON

MANAGING EMPLOYEE

  • AMMERMANN, LYNETTE
  • SCHARNBERG, MARK

OFFICER

  • HAM-QUICK, MISTY
  • HERDINA, JOSEPH
  • HORAZDOVSKY, DAVID
  • KAPUSTA, THOMAS
  • PETERSON, BERGEN
  • SYVERSON, THOMAS
  • TRIBBLE, GEORGE

OPERATIONAL/MANAGERIAL CONTROL

  • HORAZDOVSKY, DAVID

Nursing Home Report

In 2016, GOOD SAMARITAN SOCIETY - ELLSWORTH VILLAGE charged a total of $1,277,525 for 38 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 87.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 42% Alzheimer's n/a
Asthma 26% Cancer 11%
Congestive Heart Failure 47% Kidney Disease 42%
COPD 29% Depression 66%
Diabetes 37% Hyperlipidemia 45%
Hypertension n/a Ischemic Heart Disease 50%
Osteoporosis 11% RA / OA 66%
Schizophrenia 39% Stroke 11%
Demographics
Medicare Beneficiaries 38 Average Age 87
Male 13 Female 25
White 36
Black 0
Asian 0
Hispanic n/a
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Aug 10, 2017; fire safety inspection: Mar 10, 2017

Health Deficiencies as of 08/10/2017
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 3
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies 2
Administration Deficiencies None
Fire Deficiencies as of 03/10/2017
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also