Oberlin, KS

Good Samaritan Society - Decatur County

2-star overall rating with 2-star inspections with $20,207 in total fines with 11 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

108 E Ash Street, Oberlin, KS

(785) 475-2245

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

45

Certified beds

Average residents

19

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Good Samaritan Society

Operator or chain grouping

Approved since

1996-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.54

Registered nurse staffing

LPN hours / resident day

0.45

Licensed practical nurse staffing

Aide hours / resident day

2.30

Nurse aide staffing

Weekend hours

3.45

Weekend nurse staffing

RN turnover

63%

Annual RN turnover

Total nurse turnover

67%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.6
1.8
0.2 pts better
1.9
0.3 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.5
2.2
0.3 pts worse
1.8
0.7 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
91.8%
6.9 pts better
93.4%
5.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.5%
4.5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 13.3%
4.4%
8.9 pts worse
3.3%
10 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
5.6%
5.6 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 28.0%
5.0%
23 pts worse
5.4%
22.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 28.0%
23.2%
4.8 pts worse
19.6%
8.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 9.1%
19.8%
10.7 pts better
16.7%
7.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 41.6%
18.4%
23.2 pts worse
16.3%
25.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 40.3%
18.8%
21.5 pts worse
14.9%
25.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.3%
1.8%
0.5 pts worse
1.0%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
3.1%
3.1 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 34.9%
23.2%
11.7 pts worse
19.8%
15.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.8%
4.6%
1.8 pts better
5.1%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 56.4%
75.6%
19.2 pts worse
81.7%
25.3 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-17 · Fire 2025-11-17

11 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2023-11-30 · Fire 2023-11-30

8 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 3 Health 2022-07-14 · Fire 2022-07-14

14 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-11-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-02-10

F · Potential for more than minimal harm 2025-11-17

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2026-02-10

E · Potential for more than minimal harm 2025-11-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-10

E · Potential for more than minimal harm 2025-11-17

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2026-02-10

E · Potential for more than minimal harm 2025-11-17

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2026-02-10

E · Potential for more than minimal harm 2025-11-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2026-02-10

D · Potential for more than minimal harm 2025-11-17

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2026-02-10

D · Potential for more than minimal harm 2025-11-17

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2026-02-10

D · Potential for more than minimal harm 2025-11-17

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2026-02-10

D · Potential for more than minimal harm 2025-11-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2026-02-10

D · Potential for more than minimal harm 2025-11-17

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2026-02-10

D · Potential for more than minimal harm 2025-11-17

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2026-02-10

F · Potential for more than minimal harm 2023-11-30

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-02-02

F · Potential for more than minimal harm 2023-11-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-02

F · Potential for more than minimal harm 2023-11-30

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-02-02

F · Potential for more than minimal harm 2023-11-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-02-02

E · Potential for more than minimal harm 2023-11-30

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2024-02-02

E · Potential for more than minimal harm 2023-11-30

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-02

E · Potential for more than minimal harm 2023-11-30

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-02

E · Potential for more than minimal harm 2023-11-30

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-02-02

E · Potential for more than minimal harm 2023-11-30

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-02

E · Potential for more than minimal harm 2023-11-30

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-02-02

E · Potential for more than minimal harm 2023-11-30

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-02

D · Potential for more than minimal harm 2023-11-30

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-02

D · Potential for more than minimal harm 2023-11-30

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-02-02

F · Potential for more than minimal harm 2022-07-14

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-09-23

F · Potential for more than minimal harm 2022-07-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-09-23

F · Potential for more than minimal harm 2022-07-14

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-09-23

E · Potential for more than minimal harm 2022-07-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-09-23

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-11-17

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-12-15

F · Potential for more than minimal harm 2025-11-17

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-12-15

F · Potential for more than minimal harm 2025-11-17

F801 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2025-12-15

D · Potential for more than minimal harm 2025-11-17

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-12-15

D · Potential for more than minimal harm 2025-11-17

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-12-15

D · Potential for more than minimal harm 2025-11-17

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-12-15

D · Potential for more than minimal harm 2025-11-17

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-12-15

F · Potential for more than minimal harm 2025-04-28

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-06-10

E · Potential for more than minimal harm 2025-04-28

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-06-10

E · Potential for more than minimal harm 2025-04-28

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-06-10

E · Potential for more than minimal harm 2025-04-28

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-06-10

G · Actual harm 2024-02-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-03-15

D · Potential for more than minimal harm 2023-12-11

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-01-17

F · Potential for more than minimal harm 2023-11-30

F801 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-11-30

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-11-30

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-11-30

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-11-30

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-11-30

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-11-30

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-11-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-05

G · Actual harm 2023-09-11

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-05-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-06-10

G · Actual harm 2022-07-14

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-08-06

D · Potential for more than minimal harm 2022-07-14

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2022-08-06

D · Potential for more than minimal harm 2022-07-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-08-06

D · Potential for more than minimal harm 2022-07-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-08-06

D · Potential for more than minimal harm 2022-07-14

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-08-06

D · Potential for more than minimal harm 2022-07-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-08-06

D · Potential for more than minimal harm 2022-07-14

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-08-06

D · Potential for more than minimal harm 2022-07-14

F756 · Pharmacy Service Deficiencies

Health

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

Corrected 2022-08-06

D · Potential for more than minimal harm 2022-07-14

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2022-08-06

D · Potential for more than minimal harm 2022-07-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-08-06

Penalties and ownership

What sits behind the stars

$20,207 2023-09-11

Fine

Fine · fine $20,207

Fine

Ownership

Sanford

5% Or Greater Direct Ownership Interest · Organization

100% 89 facilities 2019-01-01
The Evangelical Lutheran Good Samaritan Society

5% Or Greater Indirect Ownership Interest · Organization

100% 88 facilities 2019-01-01
Bartruff, Craig

Operational/Managerial Control · Individual

0% 2 facilities 2018-06-13
Brown, George

Corporate Director · Individual

0% 64 facilities 2025-01-01
Dykhouse, Dana

Corporate Director · Individual

0% 85 facilities 2024-05-30
Engbrecht, Wesley

Corporate Director · Individual

0% 89 facilities 2024-05-30
Fluit, Joel

Corporate Officer · Individual

0% 88 facilities 2022-10-01
Gassen, William

Corporate Director · Individual

0% 89 facilities 2024-05-30
Gassen, William

Corporate Officer · Individual

0% 89 facilities 2024-05-30
Gulsvig, Neil

Corporate Director · Individual

0% 89 facilities 2024-05-30
Herseth Sandlin, Stephanie

Corporate Director · Individual

0% 86 facilities 2024-05-30
Klinedinst, Tami

Operational/Managerial Control · Individual

0% 1 facilities 2023-05-15
Lundeen, Mark

Corporate Director · Individual

0% 89 facilities 2024-05-30
Mccausland, Maureen

Corporate Director · Individual

0% 61 facilities 2025-01-01
Middleton, Aimee

Corporate Officer · Individual

0% 88 facilities 2022-01-27
Molbert, Lauris

Corporate Director · Individual

0% 89 facilities 2024-05-30
Morrison, Tony

Operational/Managerial Control · Individual

0% 89 facilities 2019-01-01
North, Andrew

Corporate Director · Individual

0% 89 facilities 2024-05-30
Olson, Nicholas

Corporate Officer · Individual

0% 87 facilities 2024-04-08
Schema, Nathan

Corporate Officer · Individual

0% 88 facilities 2022-01-01
Schieffer, Kevin

Corporate Director · Individual

0% 61 facilities 2025-01-01
Shulkin, David

Corporate Director · Individual

0% 85 facilities 2024-05-30
Teiken, Brent

Corporate Director · Individual

0% 89 facilities 2024-05-30
Ventling-Herrmann, Marnie

Corporate Director · Individual

0% 89 facilities 2024-05-30
Wenzel, Thomas

Corporate Director · Individual

0% 61 facilities 2025-01-01

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