Federal inspection record · CMS data as of October 1, 2026

Good Samaritan - Ellis

1101 Spruce Street, Ellis, KS · (785) 726-3101

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
42
Residents per day
35
Ownership
Non-Profit
Chain
Good Samaritan Society
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 1, 1994

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Kansas homes

Good Samaritan - Ellis carries 41 inspection points. That is fewer than 74% of Kansas's 293 rated homes.

5★4★3★2★1★+9 homes above 20405102550100200inspection points → fewer is better on the leftThis home · 41 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–27 pts
  • 4★ 27–49 pts
  • 3★ 49–71 pts
  • 2★ 71–114.38 pts
  • 1★ over 114.38 pts

Bars show every rated home in Kansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

24 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 16 4 pts
E 3 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 6, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected December 22, 2025

Everything else, by area of care

Quality of Life and Care6D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 11, 2025 · Standard · F689 · Corrected January 23, 2026

  2. D

    Provide enough food/fluids to maintain a resident's health.

    March 11, 2024 · Complaint · F692 · Corrected April 5, 2024

  3. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 29, 2022 · Standard · F689 · Corrected September 30, 2022

  4. D

    Provide enough food/fluids to maintain a resident's health.

    August 29, 2022 · Standard · F692 · Corrected September 30, 2022

  5. D

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    August 29, 2022 · Standard · F740 · Corrected September 30, 2022

  6. D

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    August 29, 2022 · Standard · F745 · Corrected September 30, 2022

Resident Rights6E
  1. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    March 11, 2024 · Complaint · F550 · Corrected April 5, 2024

  2. E

    Give residents a notice of rights, rules, services and charges.

    August 29, 2022 · Standard · F572 · Corrected September 30, 2022

  3. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    August 29, 2022 · Standard · F550 · Corrected September 30, 2022

  4. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    August 29, 2022 · Standard · F580 · Corrected September 30, 2022

  5. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    August 29, 2022 · Standard · F623 · Corrected September 30, 2022

  6. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    August 29, 2022 · Standard · F625 · Corrected September 30, 2022

Pharmacy Service3D
  1. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    December 11, 2025 · Standard · F756 · Corrected January 23, 2026

  2. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    December 11, 2025 · Standard · F757 · Corrected January 23, 2026

  3. D

    Ensure that residents are free from significant medication errors.

    August 29, 2022 · Standard · F760 · Corrected September 30, 2022

Nutrition and Dietary3F
  1. F

    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.

    March 11, 2024 · Complaint · F801 · Corrected April 5, 2024

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 11, 2024 · Complaint · F812 · Corrected April 5, 2024

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 29, 2022 · Standard · F812 · Corrected September 30, 2022

Resident Assessment and Care Planning2D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 29, 2022 · Standard · F656 · Corrected September 30, 2022

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    August 29, 2022 · Standard · F657 · Corrected September 30, 2022

Administration1F
  1. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    March 11, 2024 · Complaint · F851 · Corrected April 5, 2024

Nursing and Physician Services1F
  1. F

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    March 11, 2024 · Complaint · F947 · Corrected April 5, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Respond appropriately to all alleged violations.

    August 29, 2022 · Standard · F610 · Corrected September 30, 2022

Inspection history

  1. 2025-12-11

    4 health deficiencies · 8 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  2. 2024-03-11

    6 health deficiencies · 6 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  3. 2022-08-29

    14 health deficiencies · 7 fire-safety deficiencies

    Top issue: Resident Rights (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 39 min of nursing staff time a day, 50 min of it from a registered nurse.

This home

3 h 39 min

Kansas average

4 h 8 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 36% of nursing staff and 20% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.1 pts worse1.81.71.8
Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same2.02.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts worse89.7%92.9%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.1 pts better100.0%94.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse4.4%4.2%3.2%
Percentage of long-stay residents who have depressive symptoms6.6 pts better0.0%6.6%13.5%
Percentage of long-stay residents who lose too much weight1.5 pts better3.3%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts worse24.4%23.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.8 pts better13.9%17.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.2 pts better13.3%14.5%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts worse21.6%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.5 pts worse2.9%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection1.3 pts better1.5%2.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts worse24.5%21.6%18.3%
Percentage of long-stay residents with pressure ulcers2 pts better2.4%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.9 pts worse54.2%77.1%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.4 pts worse11.8%11.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better0.0%1.6%1.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission9.9 pts better12.4%22.3%23.4%

·

Who owns and runs it

56 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Sanford5% Or Greater Direct Ownership Interest · Organization100%89 facilities
The Evangelical Lutheran Good Samaritan Society5% Or Greater Indirect Ownership Interest · Organization100%87 facilities
Brown, GeorgeCorporate Director · Individual0%72 facilities
Brown, GeorgeAdp Of The SNF · Individual0%72 facilities
De Andrade, PauloOperational/Managerial Control · Individual0%2 facilities
De Andrade, PauloAdp Of The SNF · Individual0%2 facilities
Dtn Staffing IncAdp Of The SNF · Organization0%51 facilities
Dykhouse, DanaCorporate Director · Individual0%85 facilities
Dykhouse, DanaAdp Of The SNF · Individual0%85 facilities
Engbrecht, WesleyCorporate Director · Individual0%89 facilities
Engbrecht, WesleyAdp Of The SNF · Individual0%89 facilities
Fluit, JoelCorporate Officer · Individual0%87 facilities
Fluit, JoelIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%87 facilities
Fluit, JoelAdp Of The SNF · Individual0%87 facilities
Focusone SolutionsAdp Of The SNF · Organization0%50 facilities
Gassen, WilliamCorporate Director · Individual0%89 facilities
Gassen, WilliamCorporate Officer · Individual0%89 facilities
Gassen, WilliamAdp Of The SNF · Individual0%89 facilities
Grape Tree Medical Staffing LLCAdp Of The SNF · Organization0%64 facilities
Gulsvig, NeilCorporate Director · Individual0%89 facilities
Gulsvig, NeilAdp Of The SNF · Individual0%89 facilities
Herseth Sandlin, StephanieCorporate Director · Individual0%86 facilities
Herseth Sandlin, StephanieAdp Of The SNF · Individual0%86 facilities
Leuenberger, SharonOperational/Managerial Control · Individual0%1 facilities
Leuenberger, SharonAdp Of The SNF · Individual0%1 facilities
Lundeen, MarkCorporate Director · Individual0%89 facilities
Lundeen, MarkAdp Of The SNF · Individual0%89 facilities
Mccausland, MaureenCorporate Director · Individual0%69 facilities
Mccausland, MaureenAdp Of The SNF · Individual0%69 facilities
Middleton, AimeeCorporate Officer · Individual0%87 facilities
Middleton, AimeeAdp Of The SNF · Individual0%87 facilities
Molbert, LaurisCorporate Director · Individual0%89 facilities
Molbert, LaurisAdp Of The SNF · Individual0%89 facilities
Morrison, TonyOperational/Managerial Control · Individual0%89 facilities
Morrison, TonyAdp Of The SNF · Individual0%89 facilities
North, AndrewCorporate Director · Individual0%89 facilities
North, AndrewAdp Of The SNF · Individual0%89 facilities
Olson, NicholasCorporate Officer · Individual0%87 facilities
Olson, NicholasAdp Of The SNF · Individual0%87 facilities
Omnicare LLCAdp Of The SNF · Organization0%43 facilities
Sandgren, DeeandraOperational/Managerial Control · Individual0%50 facilities
Sandgren, DeeandraAdp Of The SNF · Individual0%50 facilities
SanfordAdp Of The SNF · Organization0%89 facilities
Schema, NathanCorporate Officer · Individual0%87 facilities
Schema, NathanAdp Of The SNF · Individual0%87 facilities
Schieffer, KevinCorporate Director · Individual0%69 facilities
Schieffer, KevinAdp Of The SNF · Individual0%69 facilities
Shulkin, DavidCorporate Director · Individual0%85 facilities
Shulkin, DavidAdp Of The SNF · Individual0%85 facilities
Teiken, BrentCorporate Director · Individual0%89 facilities
Teiken, BrentAdp Of The SNF · Individual0%89 facilities
The Evangelical Lutheran Good Samaritan SocietyAdp Of The SNF · Organization0%87 facilities
Ventling-Herrmann, MarnieCorporate Director · Individual0%90 facilities
Ventling-Herrmann, MarnieAdp Of The SNF · Individual0%90 facilities
Wenzel, ThomasCorporate Director · Individual0%69 facilities
Wenzel, ThomasAdp Of The SNF · Individual0%69 facilities

·

Fire safety

21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke10F
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    December 11, 2025 · K321 · Corrected January 30, 2026

  2. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    December 11, 2025 · K345 · Corrected January 30, 2026

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    December 11, 2025 · K353 · Corrected January 30, 2026

  4. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    December 11, 2025 · K355 · Corrected January 30, 2026

  5. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    March 11, 2024 · K345 · Corrected April 17, 2024

  6. E

    Inspect, test, and maintain automatic sprinkler systems.

    March 11, 2024 · K353 · Corrected April 17, 2024

  7. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    March 11, 2024 · K355 · Corrected April 17, 2024

  8. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 29, 2022 · K353 · Corrected October 14, 2022

  9. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    August 29, 2022 · K355 · Corrected October 14, 2022

  10. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    August 29, 2022 · K372 · Corrected October 14, 2022

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    December 11, 2025 · K712 · Corrected February 24, 2026

  2. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    December 11, 2025 · K761 · Corrected February 23, 2026

  3. E

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    March 11, 2024 · K761 · Corrected June 25, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    December 11, 2025 · K918 · Corrected February 23, 2026

  2. E

    Ensure proper usage of power strips and extension cords.

    March 11, 2024 · K920 · Corrected April 24, 2024

  3. F

    Ensure proper usage of power strips and extension cords.

    August 29, 2022 · K920 · Corrected October 14, 2022

Egress3F
  1. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    March 11, 2024 · K211 · Corrected April 17, 2024

  2. F

    Install emergency lighting that can last at least 1 1/2 hours.

    August 29, 2022 · K291 · Corrected October 14, 2022

  3. E

    Have horizontal exits used in accordance with safety requirements.

    August 29, 2022 · K226 · Corrected October 14, 2022

Services2E
  1. E

    Have properly installed electrical wiring and gas equipment.

    December 11, 2025 · K511 · Corrected January 30, 2026

  2. E

    Have properly installed electrical wiring and gas equipment.

    August 29, 2022 · K511 · Corrected October 14, 2022

·

Other homes nearby

  1. Good Samaritan - Hays

    Hays, KS · Good Samaritan Society

    Worst citation, 3 yrs
    D
    Nursing / resident / day
    3 h 56 min
    Fines
    $0
  2. Via Christi Village Hays Ks LLC

    Hays, KS · Recover-Care Healthcare

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    4 h 13 min
    Fines
    $58,959
  3. Worst citation, 3 yrs
    J
    Nursing / resident / day
    5 h 7 min
    Fines
    $0