Contact Information

GOOD SAMARITAN SOCIETY - GRAND ISLAND VILLAGE
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
4061 TIMBERLINE STREET & 4055 TIMBERLINE STREET
GRAND ISLAND, NE 68803
(308) 384-3535
Non profit - Other
Medicare certification date2: September 01, 2010
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

  57 residents

  67 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 5
Facility reported incidents 3
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 57 residents Nebraska Average National Average
Hours by Registered Nurse (RN) per resident per day 46 minutes 43 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 35 minutes 44 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 48 minutes 2 hours, 35 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 4 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

  • CAMERO, PATRICIA
  • DEUTH, MICHAEL
  • GARD, ALAN
  • GRINDAL, HARALD
  • HALAAS, GWEN
  • KRZMARZICK, HEATHER
  • LAAVEG, LEE
  • MARCH-CURTIS, CONNIE
  • RACEK, JOHN
  • ROBINSON, DINA
  • SCHUMANN, JILL
  • ST MARY, SHARON
  • STENE, DENNIS
  • THOMPSON, DALE

MANAGING EMPLOYEE

  • HARVEY, JEFFREY
  • 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 - GRAND ISLAND VILLAGE charged a total of $2,276,400 for 105 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 83.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 38% Alzheimer's 38%
Asthma 34% Cancer 20%
Congestive Heart Failure 55% Kidney Disease 50%
COPD 40% Depression 53%
Diabetes 36% Hyperlipidemia 62%
Hypertension n/a Ischemic Heart Disease 51%
Osteoporosis 33% RA / OA n/a
Schizophrenia 4% Stroke 10%
Demographics
Medicare Beneficiaries 105 Average Age 83
Male 35 Female 70
White 102
Black 0
Asian 0
Hispanic n/a
American Indian n/a
Other n/a

Health & Fire Inspection

Most recent health inspection: Jun 11, 2018; fire safety inspection: Jun 11, 2018

Health Deficiencies as of 06/11/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 2
Resident Assessment and Care Planning 4
Nursing and Physician Services None
Resident Rights 3
Nutrition and Dietary Deficiencies 1
Pharmacy Service 3
Environmental Deficiencies 1
Administration Deficiencies 1
Fire Deficiencies as of 06/11/2018
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 3
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 4
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations 1

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See also