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Good Samaritan Society - Colonial Villa
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Ratings Deep Dive
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Sep 16, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| — | Sep 16, 2025 | Provide and implement an infection prevention and control program. | E |
| — | Jul 23, 2024 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. | D |
| — | Jul 23, 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 23, 2024 | 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. | D |
0.7 RN Hours / Resident / Day
3.7 Total Nurse Hours / Resident / Day
66.7% RN Turnover Rate
2.0 Long-Stay QM Rating
— Short-Stay QM Rating
30.1 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
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Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST SANFORD
5% OR GREATER INDIRECT OWNERSHIP INTEREST THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
OPERATIONAL/MANAGERIAL CONTROL JOHNSON, TAMARA
OPERATIONAL/MANAGERIAL CONTROL MANNIS, ANNA
OPERATIONAL/MANAGERIAL CONTROL MORRISON, TONY
CORPORATE DIRECTOR BROWN, GEORGE
CORPORATE DIRECTOR DYKHOUSE, DANA
CORPORATE DIRECTOR ENGBRECHT, WESLEY
CORPORATE DIRECTOR GASSEN, WILLIAM
CORPORATE DIRECTOR GULSVIG, NEIL
Recent Penalties
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