Federal inspection record · CMS data as of October 1, 2026
Good Samaritan Society -- Fort Collins Village
508 W Trilby Rd, Fort Collins, CO · (970) 226-4909
- Certified beds
- 64
- Residents per day
- 56
- Ownership
- Non-Profit
- Chain
- Good Samaritan Society
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1986
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Colorado homes
Good Samaritan Society -- Fort Collins Village carries 24 inspection points. That is fewer than 88% of Colorado's 208 rated homes.
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
9 health citations on record since 2022. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Infection Control4F
- D
Implement a program that monitors antibiotic use.
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Quality of Life and Care2D
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Administration1D
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Inspection history
2025-12-04
4 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-01-09
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2022-09-21
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 1 h 24 min of it from a registered nurse.
This home
3 h 39 min
Colorado average
3 h 42 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 42% 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
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 vaccine8 pts worse | 85.4% | 93.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts better | 96.5% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better | 1.9% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.8 pts better | 3.0% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.4 pts worse | 9.2% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.3 pts better | 6.3% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.1 pts better | 13.8% | 19.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.5 pts better | 10.2% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1 pts better | 11.8% | 12.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.7 pts worse | 3.2% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts worse | 2.8% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.4 pts worse | 21.0% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts better | 0.4% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine40.7 pts worse | 36.3% | 77.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit24.5 pts worse | 36.5% | 12.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine35.3 pts worse | 38.3% | 73.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.5 pts worse | 30.0% | 20.5% | 23.4% |
·
Who owns and runs it
57 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 |
| Bermingham, Roger | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bermingham, Roger | Adp Of The SNF · Individual | 0% | 1 facilities |
| Brown, George | Corporate Director · Individual | 0% | 72 facilities |
| Brown, George | Adp Of The SNF · Individual | 0% | 72 facilities |
| Dtn Staffing Inc | Adp Of The SNF · Organization | 0% | 51 facilities |
| Dykhouse, Dana | Corporate Director · Individual | 0% | 85 facilities |
| Dykhouse, Dana | Adp Of The SNF · Individual | 0% | 85 facilities |
| Engbrecht, Wesley | Corporate Director · Individual | 0% | 89 facilities |
| Engbrecht, Wesley | Adp Of The SNF · 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 |
| Fluit, Joel | 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 |
| Gassen, William | Adp Of The SNF · 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 |
| Gulsvig, Neil | Adp Of The SNF · Individual | 0% | 89 facilities |
| Herseth Sandlin, Stephanie | Corporate Director · Individual | 0% | 86 facilities |
| Herseth Sandlin, Stephanie | Adp Of The SNF · Individual | 0% | 86 facilities |
| Lundeen, Mark | Corporate Director · Individual | 0% | 89 facilities |
| Lundeen, Mark | Adp Of The SNF · Individual | 0% | 89 facilities |
| Mccausland, Maureen | Corporate Director · Individual | 0% | 69 facilities |
| Mccausland, Maureen | Adp Of The SNF · Individual | 0% | 69 facilities |
| Middleton, Aimee | Corporate Officer · Individual | 0% | 87 facilities |
| Middleton, Aimee | Adp Of The SNF · Individual | 0% | 87 facilities |
| Molbert, Lauris | Corporate Director · Individual | 0% | 89 facilities |
| Molbert, Lauris | Adp Of The SNF · Individual | 0% | 89 facilities |
| Morrison, Tony | Operational/Managerial Control · Individual | 0% | 89 facilities |
| Morrison, Tony | Adp Of The SNF · Individual | 0% | 89 facilities |
| North, Andrew | Corporate Director · Individual | 0% | 89 facilities |
| North, Andrew | Adp Of The SNF · Individual | 0% | 89 facilities |
| Olson, Nicholas | Corporate Officer · Individual | 0% | 87 facilities |
| Olson, Nicholas | Adp Of The SNF · Individual | 0% | 87 facilities |
| Sandgren, Deeandra | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Sandgren, Deeandra | Adp Of The SNF · Individual | 0% | 50 facilities |
| Sanford | Operational/Managerial Control · Organization | 0% | 89 facilities |
| Sanford | Adp Of The SNF · Organization | 0% | 89 facilities |
| Schema, Nathan | Corporate Officer · Individual | 0% | 87 facilities |
| Schema, Nathan | Adp Of The SNF · Individual | 0% | 87 facilities |
| Schieffer, Kevin | Corporate Director · Individual | 0% | 69 facilities |
| Schieffer, Kevin | Adp Of The SNF · Individual | 0% | 69 facilities |
| Schlichting, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schlichting, John | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shulkin, David | Corporate Director · Individual | 0% | 85 facilities |
| Shulkin, David | Adp Of The SNF · Individual | 0% | 85 facilities |
| Teiken, Brent | Corporate Director · Individual | 0% | 89 facilities |
| Teiken, Brent | Adp Of The SNF · Individual | 0% | 89 facilities |
| The Evangelical Lutheran Good Samaritan Society | Operational/Managerial Control · Organization | 0% | 87 facilities |
| The Evangelical Lutheran Good Samaritan Society | Adp Of The SNF · Organization | 0% | 87 facilities |
| Ventling-Herrmann, Marnie | Corporate Director · Individual | 0% | 90 facilities |
| Ventling-Herrmann, Marnie | Adp Of The SNF · Individual | 0% | 90 facilities |
| Wenzel, Thomas | Corporate Director · Individual | 0% | 69 facilities |
| Wenzel, Thomas | Adp Of The SNF · Individual | 0% | 69 facilities |
·
Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress4F
- F
Meet other general requirements.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Have properly located and lighted "Exit" signs.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Smoke4F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems3F
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
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Centre Avenue Health And Rehab LLC
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