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

Good Samaritan - Ellsworth

1156 Highway 14, Ellsworth, KS · (785) 472-3167

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
43
Residents per day
34
Ownership
Non-Profit
Chain
Good Samaritan Society
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 1, 1992

1

How this home got 2 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

    −1 star

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

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Kansas homes

Good Samaritan - Ellsworth carries 35 inspection points. That is fewer than 82% of Kansas's 293 rated homes.

5★4★3★2★1★+9 homes above 20405102550100200inspection points → fewer is better on the leftThis home · 35 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

18 health citations on record since 2023. 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 13 4 pts
E 2 8 pts
F 2 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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 25, 2026 · Complaint inspection · Quality of Life and Care · F684 · Not yet marked corrected

Everything else, by area of care

Quality of Life and Care7D
  1. D

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

    May 21, 2026 · Standard · F689 · Corrected June 26, 2026

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    July 2, 2024 · Standard · F684 · Corrected July 31, 2024

  3. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    July 2, 2024 · Standard · F690 · Corrected July 31, 2024

  4. D

    Provide care or services that was trauma informed and/or culturally competent.

    July 2, 2024 · Standard · F699 · Corrected July 31, 2024

  5. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 7, 2023 · Standard · F684 · Corrected April 14, 2023

  6. D

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

    March 7, 2023 · Standard · F689 · Corrected April 14, 2023

  7. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    March 7, 2023 · Standard · F690 · Corrected April 14, 2023

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    July 2, 2024 · Standard · F880 · Corrected July 31, 2024

  2. D

    Implement a program that monitors antibiotic use.

    July 2, 2024 · Standard · F881 · Corrected July 31, 2024

  3. E

    Provide and implement an infection prevention and control program.

    March 7, 2023 · Standard · F880 · Corrected April 14, 2023

Pharmacy Service2E
  1. E

    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.

    July 2, 2024 · Standard · F758 · Corrected July 31, 2024

  2. D

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

    July 2, 2024 · Standard · F756 · Corrected July 31, 2024

Resident Assessment and Care Planning2D
  1. D

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

    July 2, 2024 · Standard · F657 · Corrected July 31, 2024

  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.

    March 7, 2023 · Standard · F657 · Corrected April 14, 2023

Nutrition and Dietary1F
  1. F

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

    July 2, 2024 · Standard · F812 · Corrected July 31, 2024

Administration1F
  1. F

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    July 2, 2024 · Standard · F868 · Corrected July 31, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 7, 2023 · Standard · F600 · Corrected April 14, 2023

Inspection history

  1. 2026-05-21

    2 health deficiencies · 12 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2024-07-02

    10 health deficiencies · 11 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2023-03-07

    6 health deficiencies · 12 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 58 min of nursing staff time a day, 38 min of it from a registered nurse.

This home

3 h 58 min

Kansas average

4 h 8 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 56% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.

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 days1 pts worse2.71.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse2.72.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts better100.0%92.9%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts worse92.1%94.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same4.2%4.2%3.2%
Percentage of long-stay residents who have depressive symptoms13.6 pts worse20.2%6.6%13.5%
Percentage of long-stay residents who lose too much weight1.7 pts better3.1%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication16.6 pts worse40.0%23.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.8 pts worse27.5%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 worsened4.2 pts worse18.7%14.5%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts better16.5%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better0.0%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection2.1 pts better0.7%2.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.5 pts worse27.1%21.6%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts better4.0%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.1 pts better87.2%77.1%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.7 pts worse14.1%11.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication2.9 pts worse4.5%1.6%1.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.5 pts worse28.8%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
Bailey, CourtneyOperational/Managerial Control · Individual0%1 facilities
Bailey, CourtneyAdp Of The SNF · Individual0%1 facilities
Brown, GeorgeCorporate Director · Individual0%72 facilities
Brown, GeorgeAdp Of The SNF · Individual0%72 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
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, DeeandraManaging Control - Governing Body · 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
Slomka, JerzyOperational/Managerial Control · Individual0%1 facilities
Slomka, JerzyAdp Of The SNF · Individual0%1 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

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

Gas, Vacuum, and Electrical Systems9F
  1. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    May 21, 2026 · K914 · Corrected July 17, 2026

  2. F

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

    May 21, 2026 · K918 · Corrected July 17, 2026

  3. D

    Ensure proper usage of power strips and extension cords.

    May 21, 2026 · K920 · Corrected July 17, 2026

  4. D

    Have proper medical gas storage and administration areas.

    May 21, 2026 · K923 · Corrected July 17, 2026

  5. F

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

    July 2, 2024 · K918 · Corrected August 22, 2024

  6. E

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    July 2, 2024 · K914 · Corrected August 22, 2024

  7. E

    Ensure proper usage of power strips and extension cords.

    July 2, 2024 · K920 · Corrected September 12, 2024

  8. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    March 7, 2023 · K914 · Corrected May 30, 2023

  9. F

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

    March 7, 2023 · K918 · Corrected May 30, 2023

Smoke9F
  1. E

    Inspect, test, and maintain automatic sprinkler systems.

    May 21, 2026 · K353 · Corrected July 17, 2026

  2. E

    Install corridor and hallway doors that block smoke.

    May 21, 2026 · K363 · Corrected July 17, 2026

  3. E

    Provide properly protected cooking facilities.

    July 2, 2024 · K324 · Corrected September 12, 2024

  4. E

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

    July 2, 2024 · K345 · Corrected September 12, 2024

  5. E

    Inspect, test, and maintain automatic sprinkler systems.

    July 2, 2024 · K353 · Corrected September 12, 2024

  6. F

    Install a fire alarm system that can be heard throughout the facility.

    March 7, 2023 · K341 · Corrected May 30, 2023

  7. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 7, 2023 · K353 · Corrected July 7, 2023

  8. F

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

    March 7, 2023 · K355 · Corrected May 30, 2023

  9. E

    Install corridor and hallway doors that block smoke.

    March 7, 2023 · K363 · Corrected May 30, 2023

Egress4F
  1. F

    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.

    May 21, 2026 · K222 · Corrected July 17, 2026

  2. F

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

    May 21, 2026 · K291 · Corrected July 17, 2026

  3. E

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

    July 2, 2024 · K211 · Corrected September 12, 2024

  4. F

    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.

    March 7, 2023 · K222 · Corrected May 30, 2023

Services4E
  1. E

    Have properly installed electrical wiring and gas equipment.

    May 21, 2026 · K511 · Corrected July 17, 2026

  2. D

    Meet other general requirements that are deficient.

    May 21, 2026 · K500 · Corrected July 17, 2026

  3. E

    Have properly installed electrical wiring and gas equipment.

    July 2, 2024 · K511 · Corrected September 12, 2024

  4. E

    Have properly installed electrical wiring and gas equipment.

    March 7, 2023 · K511 · Corrected May 30, 2023

Miscellaneous4F
  1. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    May 21, 2026 · K741 · Corrected July 17, 2026

  2. F

    Have simulated fire drills held at unexpected times.

    July 2, 2024 · K712 · Corrected September 12, 2024

  3. F

    Have simulated fire drills held at unexpected times.

    March 7, 2023 · K712 · Corrected May 30, 2023

  4. F

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

    March 7, 2023 · K761 · Corrected May 30, 2023

Emergency Preparedness3F
  1. F

    Provide emergency officials' contact information.

    July 2, 2024 · E31 · Corrected August 22, 2024

  2. F

    Conduct testing and exercise requirements.

    July 2, 2024 · E39 · Corrected August 22, 2024

  3. F

    Conduct testing and exercise requirements.

    March 7, 2023 · E39 · Corrected May 30, 2023

Construction2F
  1. D

    Use approved construction type or materials.

    May 21, 2026 · K161 · Corrected July 17, 2026

  2. F

    Meet other general requirements.

    March 7, 2023 · K100 · Corrected May 30, 2023

·

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