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Good Samaritan Society - Ellsworth Village

1156 Highway 14, Ellsworth, KS 67439
7854723167
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Overall CMS Rating

3.0/5

vs State Average: 3.0 stars

3.0/5

Health Inspections

vs State Average: 2.8/5

3.0/5

Staffing Level

vs State Average: 3.4/5

2.0/5

Quality Measures

vs State Average: 3.1/5

2 penalties in last 3 years
Penalties
vs State Average: 1.3 penalties

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Ratings Deep Dive

Score
3.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
Citation Date Description Severity
Jul 2, 2024 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D
Jul 2, 2024 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D
Jul 2, 2024 Provide care or services that was trauma informed and/or culturally competent. D
Jul 2, 2024 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D
Jul 2, 2024 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D
Score
3.0
State Average
3.4
National Average
2.9
0.6 RN Hours / Resident / Day
3.4 Total Nurse Hours / Resident / Day
50.0% RN Turnover Rate
Score
2.0
State Average
3.1
National Average
3.6
2.0 Long-Stay QM Rating
Short-Stay QM Rating
38.6 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST SANFORD
5% OR GREATER INDIRECT OWNERSHIP INTEREST THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
OPERATIONAL/MANAGERIAL CONTROL MART, AMBER
OPERATIONAL/MANAGERIAL CONTROL MORRISON, TONY
OPERATIONAL/MANAGERIAL CONTROL SLOMKA, JERZY
CORPORATE DIRECTOR BROWN, GEORGE
CORPORATE DIRECTOR DYKHOUSE, DANA
CORPORATE DIRECTOR ENGBRECHT, WESLEY
CORPORATE DIRECTOR GASSEN, WILLIAM
CORPORATE DIRECTOR GULSVIG, NEIL
Recent Penalties
Date Type Fine
Aug 1, 2023 Fine $8,190
May 23, 2023 Fine $8,648

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