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

Good Samaritan - Loveland Village

2101 S Garfield Ave, Loveland, CO · (970) 669-3100

  • Cited for abuse (CMS abuse icon)

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
104
Residents per day
99
Ownership
Non-Profit
Chain
Good Samaritan Society
Medicare / Medicaid
Medicare + Medicaid
Certified since
September 1, 1976

1

How this home got 3 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 Colorado.

  2. Staffing

    no change

    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

    3 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Colorado homes

Good Samaritan - Loveland Village carries 58 inspection points. That is fewer than 53% of Colorado's 208 rated homes.

5★4★3★2★1★+7 homes above 18305102550100inspection points → fewer is better on the leftThis home · 58 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Colorado: 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★ 0–22 pts
  • 4★ 22–44 pts
  • 3★ 44–70.75 pts
  • 2★ 70.75–104 pts
  • 1★ over 104 pts

Bars show every rated home in Colorado 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

16 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 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 4 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 10 4 pts
E 1 8 pts
F 0 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 (5)

  1. G

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

    January 29, 2026 · Standard inspection · Quality of Life and Care · F689 · Not yet marked corrected

  2. G

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

    February 26, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 10, 2025

  3. J

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

    October 22, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected August 2, 2024

  4. G

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

    May 7, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected May 4, 2024

  5. G

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

    February 7, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected March 4, 2023

Everything else, by area of care

Resident Rights5D
  1. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    April 2, 2026 · Complaint · F552 · Corrected April 30, 2026

  2. D

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

    April 2, 2026 · Complaint · F580 · Corrected April 30, 2026

  3. D

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

    January 29, 2026 · Standard · F550 · Corrected February 28, 2026

  4. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    January 29, 2026 · Standard · F554 · Corrected February 28, 2026

  5. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    January 29, 2026 · Standard · F584 · Corrected February 28, 2026

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

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

    April 2, 2026 · Complaint · F600 · Corrected April 30, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 2, 2026 · Complaint · F609 · Corrected April 30, 2026

Pharmacy Service2E
  1. D

    Ensure medication error rates are not 5 percent or greater.

    May 7, 2024 · Standard · F759 · Corrected June 1, 2024

  2. E

    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.

    February 7, 2023 · Standard · F761 · Corrected March 4, 2023

Nursing and Physician Services1D
  1. D

    Observe each nurse aide's job performance and give regular training.

    January 29, 2026 · Standard · F730 · Corrected February 28, 2026

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    January 29, 2026 · Standard · F880 · Corrected February 28, 2026

Inspection history

  1. 2026-01-29

    10 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Rights (5 deficiencies)

  2. 2024-05-07

    4 health deficiencies · 3 fire-safety deficiencies

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

  3. 2023-02-07

    2 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 27 min of nursing staff time a day, 1 h 9 min of it from a registered nurse.

This home

3 h 27 min

Colorado average

3 h 42 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 41% of nursing staff and 44% 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

Fines and payment denials

$45,847 in federal fines on record over the past three years.

DatePenaltyAmount
2026-01-29Fine$10,358
2025-02-26Fine$13,059
2024-10-22Fine$15,642
2024-05-07Fine$6,788

6

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 worse1.51.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better1.41.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better99.2%93.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better100.0%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better2.2%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms6.9 pts better1.9%8.8%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts worse6.2%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.8 pts better8.8%11.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.1 pts better15.8%19.9%15.4%
Percentage of long-stay residents who were physically restrained0.5 pts worse0.6%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.9 pts worse12.6%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.3 pts better10.5%12.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same0.5%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.6%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts better19.7%20.6%18.3%
Percentage of long-stay residents with pressure ulcers1.7 pts worse5.1%3.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.2 pts better83.2%77.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6.4 pts better5.6%12.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better1.1%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.5 pts better81.1%73.6%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.9 pts worse21.4%20.5%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
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
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, JoelAdp Of The SNF · Individual0%87 facilities
Focusone SolutionsAdp Of The SNF · Organization0%50 facilities
Freitas, DiegoOperational/Managerial Control · Individual0%1 facilities
Freitas, DiegoAdp Of The SNF · Individual0%1 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
Lehto, TammiOperational/Managerial Control · Individual0%1 facilities
Lehto, TammiAdp 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
Sanford5% Or Greater Direct Ownership Interest · Organization0%89 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

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

Smoke6F
  1. E

    Provide properly protected cooking facilities.

    January 29, 2026 · K324 · Corrected March 19, 2026

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 29, 2026 · K353 · Corrected March 20, 2026

  3. E

    Install corridor and hallway doors that block smoke.

    January 29, 2026 · K363 · Corrected March 20, 2026

  4. F

    Provide properly protected cooking facilities.

    February 7, 2023 · K324 · Corrected March 2, 2023

  5. F

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

    February 7, 2023 · K345 · Corrected March 7, 2023

  6. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 7, 2023 · K353 · Corrected March 8, 2023

Gas, Vacuum, and Electrical Systems2F
  1. E

    Meet requirements for the installation and maintenance of electrical systems.

    January 29, 2026 · K911 · Corrected March 20, 2026

  2. F

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

    May 7, 2024 · K914 · Corrected June 4, 2024

Egress1E
  1. E

    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.

    January 29, 2026 · K222 · Corrected March 19, 2026

Construction1F
  1. F

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    May 7, 2024 · K131 · Corrected June 4, 2024

Services1F
  1. F

    Have properly installed electrical wiring and gas equipment.

    May 7, 2024 · K511 · Corrected June 4, 2024

·

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