Good Samaritan Society - Grand Island Village
4061 & 4055 Timberline Street & 2912 Good Samarita, Grand Island, NE 68803
Good Samaritan Society - Grand Island Village is a nursing home in Grand Island, Nebraska. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionDecember 30, 2025 (10 months ago)
- Health citations since November 16, 202323 (Nebraska average 19)
- Fines in the past three years1, $10,033 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
CMS update of June 24, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Health inspection on June 1, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on June 30, 2026.
CMS has cited this home for F0552 2 times since 2025.
CMS update of March 25, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
Health citation
CMS removed citation F0605 from the health inspection on December 30, 2025.
Fire safety citation
CMS removed citation E0041 from the fire safety inspection on December 30, 2025.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Fine
CMS changed the fine from September 3, 2024 from $15,435 to $10,033.
Health inspection on December 30, 2025
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation F0655. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on February 6, 2026.
Citation F0759. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on February 6, 2026.
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on February 6, 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on February 6, 2026.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on February 6, 2026.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on February 6, 2026.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on February 6, 2026.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on February 6, 2026.
CMS has cited this home for F0812 2 times since 2023.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 6, 2026.
CMS has cited this home for F0880 5 times since 2023.
Fire safety inspection on December 30, 2025
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on February 6, 2026.
CMS has cited this home for K0291 2 times since 2024.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on February 6, 2026.
CMS has cited this home for K0712 2 times since 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on February 6, 2026.
CMS has cited this home for K0918 3 times since 2023.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on February 6, 2026.
Citation K0351. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on February 6, 2026.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of June 25, 2025
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
CMS update of May 28, 2025
Ownership
CMS lists this home under a new chain.
Health inspection on May 5, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0726. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
CMS lists it as corrected on June 9, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 9, 2025.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.2 to 3.6 hours per resident per day.
Health inspection on March 27, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 9, 2025.
CMS has cited this home for F0689 2 times since 2024.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Health inspection on September 26, 2024
3 citationsCMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
22 of 180 Nebraska homes (12%) got a citation at the actual harm level in 2024.
Show the 3 citations
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on October 21, 2024.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 21, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS lists it as corrected on October 21, 2024.
Fire safety inspection on September 26, 2024
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation E0041. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on October 21, 2024.
CMS has cited this home for E0041 2 times since 2023.
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on October 21, 2024.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on October 21, 2024.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on October 21, 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on October 21, 2024.
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on October 21, 2024.
Citation K0923. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on October 21, 2024.
CMS has cited this home for K0923 2 times since 2023.
Citation K0222. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on October 21, 2024.
Citation K0753. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have restrictions on the use of highly flammable decorations.
CMS lists it as corrected on October 21, 2024.
Health inspection on September 3, 2024
1 citationCMS lists this as a complaint inspection.
CMS fine of $10,033 on September 3, 2024.
Show the 1 citation
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 21, 2024.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Staffing
Total nurse staffing reported to CMS went from 3.8 to 3.3 hours per resident per day.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
Health inspection on November 16, 2023
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0801. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on December 22, 2023.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on December 22, 2023.
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on December 22, 2023.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 22, 2023.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on December 22, 2023.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on December 22, 2023.
Fire safety inspection on November 16, 2023
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation E0041. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on December 31, 2023.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on December 31, 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 31, 2023.
Citation K0923. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on December 31, 2023.
Citation K0226. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have horizontal exits used in accordance with safety requirements.
CMS lists it as corrected on December 31, 2023.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on December 31, 2023.
CMS star ratings
- 1 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 1 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (308) 384-3535
- Last standard health inspection
- December 30, 2025 (10 months ago)
- Certified beds
- 67
- Residents per day, on average
- 55.9
- Ownership type
- Non profit - Corporation
- Legal business name
- The Evangelical Lutheran Good Samaritan Society
- Chain
- Good Samaritan Society
- Takes part in
- Medicare and Medicaid
More health citations than the Nebraska average (23 vs 19).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- SANFORD5% or greater direct ownership interest · no percentage provided · since 01/01/2019
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY5% or greater direct ownership interest · no percentage provided · since 01/01/2019
Questions
When was Good Samaritan Society - Grand Island Village last inspected?
CMS lists December 30, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Good Samaritan Society - Grand Island Village have?
CMS lists 23 health citations since November 16, 2023. CMS also calls these deficiencies.
Has Good Samaritan Society - Grand Island Village been fined?
CMS lists 1 fine in the past three years, $10,033 in total.
What is the CMS star rating of Good Samaritan Society - Grand Island Village?
Its CMS overall star rating is 1 of 5.
Is Good Samaritan Society - Grand Island Village a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.