Good Samaritan Society - St Luke's Village

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

47.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 31 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 55.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 38 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 60 beds and averages 40.2 residents a day — about 67% occupied, or roughly 20 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.52 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.69 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.48 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.04 hrs/resident/day on weekends vs 3.71 on weekdays — 18% thinner on weekends. RN hours go from 0.80 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 65% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 12 most serious are shown; the remaining 16 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-04-16 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number: 175 NAC 12-006.09 Based on record reviews and interviews, the facility failed to follow physician orders for 1 of 4 sampled residents (Resident 1). The facility census was 42. The facility Administrator was notified on 4/16/25 at 7:48 PM of an Immediate Jeopardy (IJ) which began on 3/18/25. The IJ was removed on 4/16/25, as confirmed by surveyor onsite verification. Findings are: Review of Resident 1's Baseline Care Plan (BCP, a plan of care for the resident that includes the minimum information needed to provide effective, person-centered care immediately upon admission) last updated on 04/16/2025 revealed the resident was admitted to the facility on [DATE] from another facility for long term care. Further review of the BCP revealed Resident 1 has a communication problem related to Down's Syndrome (a disorder causing distinct facial appearance, intellectual disability, developmental delays), is non-verbal, takes an anticonvulsant, dependent for all care needs, and has a nutritional…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2025-04-16 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number: 175 NAC 12-006.12 Based on record reviews and interviews, the facility failed to ensure pharmacy provided medications for 1 of 4 sampled residents (Resident 1). The facility census was 42. The facility Administrator was notified on 4/16/25 at 7:48 PM of an Immediate Jeopardy (IJ) which began on 3/18/25. The IJ was removed on 4/16/25, as confirmed by surveyor onsite verification. Findings are: Review of Resident 1's Baseline Care Plan (BCP, a plan of care for the resident that includes the minimum information needed to provide effective, person-centered care immediately upon admission) last updated on 04/16/2025 revealed the resident was admitted to the facility on [DATE] from another facility for long term care. Further review of the BCP revealed Resident 1 has a communication problem related to Down's Syndrome (a disorder causing distinct facial appearance, intellectual disability, developmental delays), is non-verbal, takes an anticonvulsant, dependent for all care needs, and has a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-14 · tag F0800 — widespread
  Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.11Based on record review, observation, and interview the facility failed to ensure the amount of protein served at a meal was in the amount stated on the facility supplied menu for 32 residents (1, 3, 5, 6, 7, 10, 11, 12, 13, 14, 15, 16, 17, 18, 20, 21, 23, 25, 26, 27, 29, 30, 31, 32, 34, 35, 36, 37, 38, 39, 46, and 47) of 36 residents. The facility census was 36.Findings are:Record review of a facility supplied document titled Dining Manager BBQ Chicken Thigh dated 2026 revealed a portion description to reflect 3 ounces of chicken thigh boneless.A.In an observation of meal service on 04/09/2026 from 11:40 AM through 12:15 PM Dietary [NAME] D (Cook-D) used red handled tongues to place a single piece of cooked chicken on to Resident 1, 5, 6, 10, 11, 12, 13, 14, 15, 16, 17, 18, 20, 21, 23, 25, 27, 29, 30, 31, 32, 35, 37, 38, 46, and 47's plates. The plate was then served to each resident with the piece of chicken on it. The [NAME] did not weigh each piece of the chicken to ensure that each resident received the recipe stated 3-ounce portion.In…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-14 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.10(D)Based on record review, observations, and interviews, the facility failed to ensure that the medication error rate was less than 5% with an actual medication error rate of 20% based on 25 observations. The facility census was 36.Record review of the facility policy Medication Errors dated 03/02/2026 revealed the purpose of the of the policy was to provide guidance in documenting and auditing medication errors. The location will have medication error rates of 5% or less and those residents are free of significant medication errors. Medication errors were defined as the observed of identified preparation of administration of medications or biologicals which are not in accordance with the prescriber's order, manufacture's specifications (not recommendations) regarding the preparation and administration of the medication or biological or accepted professional standards and principles which apply to professionals providing services. Accepted professional standards and principles include the carious practice regulation in each state, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-14 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 1-005.06(D)Licensure Reference Number 175 NAC 12-006.18(D)Based on record review, observations, and interviews, the facility failed to ensure that hand hygiene was completed during the administration of medications between each resident who received medications. This affected 8 of 8 sampled residents (Residents 30, 34, 3, 46, 47, 15, 26 and 39). The facility census was 36.Findings were:.Record review of the facility policy Hand Hygiene - Enterprise dated 11/13/2025 revealed that the purpose of the policy was;To define terms related to hand hygieneTo guide compliance for hand hygiene with the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) Moments of Hand Hygiene recommendations.To establish hand hygiene as the single most important factor in preventing the spread of disease-causing organisms to patients and personnel in healthcare settingsTo provide guidance regarding lotion use, glove use, and fingernail careThe definition of hand hygiene: a general term that applies to either handwashing or applying hand…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-14 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.05(G)Based on record review and interview, the facility failed to complete documentation of non pharmalogical interventions used prior to the administration of an as needed psychotropic medication for 1 resident (Resident 19) of 2 sampled residents. The facility census was 36.Findings are:Record review of a facility policy titled Psychotropic Medications and dated 12/09/2025 revealed before administration of a non-emergency psychotropic medication documentation in Point Click Care (PCC) the residents electronic medical health record) or POC (Point of Care) observations of mood, symptoms or behaviors that cause the resident distress and or endanger the resident or others and responses to interventions used.Record review of an admission Record revealed the facility admitted Resident 19 on 02/11/2026 with diagnosis of Cerebral Infarction (a loss of blood flow to an area of the brain causing tissue death resulting in sudden weakness, speech difficulties, and vision loss) and generalized muscle weakness.The comprehensive Minimum Data Set (MDS, a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-14 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(D)Based on record review and interview the facility failed to complete Care Area Assessments (a core component of the Resident Assessment Instrument(RAI), used in Medicare/Medicaid-certified nursing homes to evaluate a resident's functional status, identify potential care problems, and develop an individualized care plan (CAA's)) for 2 residents (Resident 9 and Resident 19) of 2 sampled residents. The facility census was 36.Findings are:Record review of a facility policy titled Minimum Data Set 3.0 Resident Assessment Instrument and dated 10/27/2025 revealed completion of the CAA includes direction for completion to include in the analysis of findings area the employee to describe in narrative format the relationship that the risk factors/complications and confounding problems have on the residents triggered CAA. In the section titled Care Plan Considerations yes or no should be chosen if the care area will be addressed in the care plan with a rational for the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-14 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC12-006.09 (F)Based on record review, observation, and interview, the facility failed to review and revise a residents care plan when the residents care needs changed for 1 resident (Resident 19) of 3 sampled residents. The facility census was 36.Findings are:Record review of a facility policy titled Care Plan and dated 12/01/2025 revealed each resident will have an individualized, person-centered, comprehensive plan of care that will be modified to reflect the care currently required/provided for the resident.Record review of an admission Record revealed the facility admitted Resident 19 on 02/11/2026 with diagnosis of Cerebral Infarction (a loss of blood flow to an area of the brain causing tissue death resulting in sudden weakness, speech difficulties, and vision loss) and generalized muscle weakness.The comprehensive Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) dated 03/27/2026 revealed that Resident 19 had…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-14 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09Based on record review and interview, the facility failed to follow a provider order to hold/not administer a medication based on ordered parameters for 1 resident (Resident 9) of 1 sampled residents. The facility census was 36.Findings are:Record review of Resident 9's Physician Orders on 04/09/2026 revealed Resident 9 had an order for Carvediol (a medication used to help regulate blood pressure) 12.5 milligrams with directions to administer one tablet by mouth twice daily (AM (morning) and HS (night) and to hold the medication if the systolic (top number) of the blood pressure was less than 100 or the diastolic (bottom number) of the blood pressure was less than 55.Record review of Resident 9's Medication Administration Record (MAR) for the month of February 2026 revealed the following:-On 02/02/2026 a blood pressure documented of 107/53 in the HS. The MAR also revealed documentation that the residents' Carvediol 12.5 milligrams was signed as administered indicating the resident received the HS dose of the medication though the residents…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09(H)(iv)(5)Based on record review and interview the facility failed to provide care and services to promote regular bowel movements for 1 resident (Resident 19) of 2 sampled residents. The facility census was 36.Findings are:Record review of a facility supplied document titled Bowel Protocol and not dated revealed on day one with no bowel movement to do nothing, on day two with no bowel movement to do nothing, on day three with no bowel movement to push fluids, and for prune juice to be given in the morning at breakfast by the day shift medication aide. If no bowel movement throughout the day to then administer Milk of Magnesia (a medication used to promote bowel movements) in the evening shift by around 3pm. On day four if no bowel movement for night shift charge nurse to administer a suppository and if no bowel movement to repeat the prune juice at breakfast by the medication aide and Milk of Magnesia by the medication aid. On day five if no bowel movement for the night shift charge, nurse to administer an enema (a medication used to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-14 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09(H)Based on observation, record review, and interview the facility failed to ensure that it implemented care and services for hemodialysis (a life-sustaining medical treatment that filters waste, toxins, and excess fluids from the blood when the kidneys have failed) resident nutrition as required for 1 of 1 resident reviewed (Resident 3). The facility census was 36.Findings are:Record review of the facility policy titled Dialysis Services dated 9/30/25 revealed that residents who receive dialysis may receive services at on outside dialysis service or by a contract dialysis company. The facility will be responsible for transportation to and from dialysis. Care plan care specific to the resident. The clinical monitoring-dialysis assessment is available for use in monitoring the resident receiving dialysis. Record review of the Outpatient Dialysis Services Coordination Agreement dated 9/9/19 revealed that the obligations of the facility includes ensuring that all appropriate medical and administrative information accompanies the resident at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-01-28 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview the facility failed to ensure they had either a full time Registered Dietitian (RD) or that the Director of food and nutritional services met the regulatory requirements. This had the potential to affect all 41 residents who consumed foods prepared in the facility kitchen. The facility census was 41. Findings are: A record review of an untitled document provided by the facility revealed the Dietary Manager (DM)'s legal name and that the DM had completed 270 contact hours in the nutrition and food service professional training program on 12/12/2023. There was no evidence that the DM had received a certification from this training. An interview on 01/22/2025 at 11:00 AM with the DM confirmed the DM was the facility's director of food and nutritional services and that the DM did not have an educational degree or certification to meet the regulatory requirements. An interview on 01/22/2025 at 11:12 AM with the RD confirmed that the RD did not work full time within the facility. The RD also confirmed that the DM did not have an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$11,654 in federal fines across 1 penalty.

• $11,654 — penalty dated 2025-04-16

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to GOOD SAMARITAN SOCIETY — 92 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 23 rows in the source record cover these 22 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $774K paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NE