Federal inspection record · CMS data as of October 1, 2026
Good Samaritan Society - Colonial Villa
719 North Brown Street, Alma, NE · (308) 928-2128
- Certified beds
- 53
- Residents per day
- 37
- Ownership
- Non-Profit
- Chain
- Good Samaritan Society
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1996
1
How this home got 4 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Good Samaritan Society - Colonial Villa carries 4 inspection points. That is fewer than 96% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: 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★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska 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
19 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (2)
-
L
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Rights4F
- F
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Pharmacy Service4D
- D
Ensure that residents are free from significant medication errors.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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
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.
Infection Control3F
- F
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care3D
- 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.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspection history
2026-08-10
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-09-16
2 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-07-23
4 health deficiencies · 8 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 59 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
2 h 59 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 50% of registered nurses left in the past year, along with 2 administrators.
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
$119,865 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-08-10 | Fine | $119,865 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.3 pts worse | 77.7% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts worse | 93.3% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.7 pts better | 0.8% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.4 pts better | 0.0% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts better | 3.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2 pts better | 17.0% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.6 pts worse | 28.3% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.1 pts worse | 16.9% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.7 pts better | 16.3% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 1.5% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts worse | 4.2% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.5 pts worse | 25.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 3.7% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine43.1 pts worse | 38.2% | 81.3% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.7 pts worse | 4.8% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.7 pts worse | 65.2% | 73.9% | 80.1% |
·
Who owns and runs it
34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sanford | 5% Or Greater Direct Ownership Interest · Organization | 100% | 89 facilities |
| The Evangelical Lutheran Good Samaritan Society | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 87 facilities |
| Brown, George | Corporate Director · Individual | 0% | 72 facilities |
| Dtn Staffing Inc | Adp Of The SNF · Organization | 0% | 51 facilities |
| Dykhouse, Dana | Corporate Director · Individual | 0% | 85 facilities |
| Engbrecht, Wesley | Corporate Director · Individual | 0% | 89 facilities |
| Fluit, Joel | Corporate Officer · Individual | 0% | 87 facilities |
| Fluit, Joel | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 87 facilities |
| Focusone Solutions | Adp Of The SNF · Organization | 0% | 50 facilities |
| Gassen, William | Corporate Director · Individual | 0% | 89 facilities |
| Gassen, William | Corporate Officer · Individual | 0% | 89 facilities |
| Grape Tree Medical Staffing LLC | Adp Of The SNF · Organization | 0% | 64 facilities |
| Gulsvig, Neil | Corporate Director · Individual | 0% | 89 facilities |
| Herseth Sandlin, Stephanie | Corporate Director · Individual | 0% | 86 facilities |
| Johnson, Tamara | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Johnson, Tamara | Adp Of The SNF · Individual | 0% | 2 facilities |
| Lundeen, Mark | Corporate Director · Individual | 0% | 89 facilities |
| Mannis, Anna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mannis, Anna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mccausland, Maureen | Corporate Director · Individual | 0% | 69 facilities |
| Middleton, Aimee | Corporate Officer · Individual | 0% | 87 facilities |
| Molbert, Lauris | Corporate Director · Individual | 0% | 89 facilities |
| Morrison, Tony | Operational/Managerial Control · Individual | 0% | 89 facilities |
| North, Andrew | Corporate Director · Individual | 0% | 89 facilities |
| Olson, Nicholas | Corporate Officer · Individual | 0% | 87 facilities |
| Omnicare LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Sanford | Adp Of The SNF · Organization | 0% | 89 facilities |
| Schema, Nathan | Corporate Officer · Individual | 0% | 87 facilities |
| Schieffer, Kevin | Corporate Director · Individual | 0% | 69 facilities |
| Shulkin, David | Corporate Director · Individual | 0% | 85 facilities |
| Teiken, Brent | Corporate Director · Individual | 0% | 89 facilities |
| The Evangelical Lutheran Good Samaritan Society | Adp Of The SNF · Organization | 0% | 87 facilities |
| Ventling-Herrmann, Marnie | Corporate Director · Individual | 0% | 90 facilities |
| Wenzel, Thomas | Corporate Director · Individual | 0% | 69 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems7F
- F
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Meet requirements for the use of electrical equipment.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Provide properly protected cooking facilities.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous4F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Provide properly sized and located linen or trash receptacles.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness2F
- F
Implement emergency and standby power systems.
- F
Implement emergency and standby power systems.
Egress1E
- 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.
·
Other homes nearby
-
Accura Healthcare of Franklin
Franklin, NE · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 57 min
- Fines
- $0
-
Christian Homes Health Care Center
Holdrege, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 45 min
- Fines
- $0
-
Holdrege Memorial Homes, Inc
Holdrege, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 41 min
- Fines
- $0