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

Good Samaritan Society - Millard

12856 Deauville Drive, Omaha, NE · (402) 895-2266

CMS overall rating

1 of 5

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Certified beds
106
Residents per day
73
Ownership
Non-Profit
Chain
Good Samaritan Society
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 16, 1990

1

How this home got 1 star

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 Nebraska.

  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

    no change

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

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Nebraska homes

Good Samaritan Society - Millard carries 158.5 inspection points. That is fewer than 6% of Nebraska's 178 rated homes.

5★4★3★2★1★+6 homes above 174.505102550100inspection points → fewer is better on the leftThis home · 158.5 pts · 1★

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

24 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 0 20 pts
H 3 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 15 4 pts
E 3 8 pts
F 3 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 (3)

  1. H

    Provide enough food/fluids to maintain a resident's health.

    May 26, 2026 · Standard inspection · Quality of Life and Care · F692 · Corrected June 23, 2026

  2. H

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    May 26, 2026 · Standard inspection · Administration · F835 · Corrected June 23, 2026

  3. H

    Have a plan that describes the process for conducting QAPI and QAA activities.

    May 26, 2026 · Standard inspection · Administration · F865 · Corrected June 23, 2026

Everything else, by area of care

Quality of Life and Care7D
  1. D

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

    May 26, 2026 · Standard · F677 · Corrected June 23, 2026

  2. D

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

    May 26, 2026 · Complaint · F684 · Corrected June 23, 2026

  3. D

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

    May 26, 2026 · Complaint · F686 · Corrected June 23, 2026

  4. 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.

    May 26, 2026 · Standard · F688 · Corrected June 23, 2026

  5. D

    Provide safe and appropriate respiratory care for a resident when needed.

    May 26, 2026 · Standard · F695 · Corrected June 23, 2026

  6. D

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

    February 24, 2025 · Complaint · F684 · Corrected March 5, 2025

  7. D

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

    February 24, 2025 · Complaint · F689 · Corrected March 5, 2025

Pharmacy Service5F
  1. D

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

    May 26, 2026 · Standard · F756 · Corrected June 23, 2026

  2. 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.

    May 26, 2026 · Standard · F761 · Corrected June 23, 2026

  3. F

    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 24, 2025 · Complaint · F761 · Corrected March 5, 2025

  4. D

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

    November 21, 2024 · Standard · F757 · Corrected December 31, 2024

  5. D

    Ensure that residents are free from significant medication errors.

    September 26, 2023 · Standard · F760 · Corrected November 3, 2023

Resident Rights3E
  1. D

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

    May 26, 2026 · Standard · F550 · Corrected June 23, 2026

  2. E

    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.

    November 21, 2024 · Standard · F584 · Corrected December 31, 2024

  3. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    November 21, 2024 · Standard · F623 · Corrected December 31, 2024

Administration2F
  1. F

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    May 26, 2026 · Standard · F838 · Corrected June 23, 2026

  2. F

    Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

    May 26, 2026 · Standard · F843 · Corrected June 23, 2026

Nursing and Physician Services1E
  1. E

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    May 26, 2026 · Standard · F712 · Corrected June 23, 2026

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    May 26, 2026 · Standard · F880 · Corrected June 23, 2026

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    May 26, 2026 · Standard · F605 · Corrected June 23, 2026

Resident Assessment and Care Planning1D
  1. D

    Ensure each resident receives an accurate assessment.

    May 26, 2026 · Standard · F641 · Corrected June 23, 2026

Inspection history

  1. 2026-05-26

    17 health deficiencies · 7 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  2. 2024-11-21

    6 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  3. 2023-09-26

    1 health deficiencies · 8 fire-safety deficiencies

    Top issue: Pharmacy Service (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 55 min of nursing staff time a day, 45 min of it from a registered nurse.

This home

3 h 55 min

Nebraska average

4 h 7 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 50% of nursing staff and 60% 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

$57,400 in federal fines on record over the past three years.

DatePenaltyAmount
2026-05-26Fine$57,400

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 worse1.81.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better1.01.91.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12.7 pts worse80.3%93.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.9 pts better98.5%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better3.9%4.5%3.2%
Percentage of long-stay residents who have depressive symptoms1 pts better3.4%4.4%13.5%
Percentage of long-stay residents who lose too much weight1 pts worse6.1%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts better14.3%19.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.2 pts better14.5%20.7%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.7 pts better15.1%16.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts better17.6%19.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts worse2.6%1.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.4 pts better1.3%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.9 pts better20.1%25.0%18.3%
Percentage of long-stay residents with pressure ulcers1.7 pts worse5.7%4.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine37.6 pts worse43.7%81.3%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1 pts worse11.8%10.8%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better1.5%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.9 pts worse50.0%73.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts worse23.1%21.1%23.4%

·

Who owns and runs it

22 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
Bashir Rafiq, NaureenContracted Managing Employee · Individual0%1 facilities
Cain, JamesCorporate Director · Individual0%20 facilities
Dykhouse, DanaCorporate Director · Individual0%85 facilities
Engbrecht, WesleyCorporate Director · Individual0%89 facilities
Fluit, JoelCorporate Officer · Individual0%87 facilities
Gassen, WilliamCorporate Director · Individual0%89 facilities
Gassen, WilliamCorporate Officer · Individual0%89 facilities
Gulsvig, NeilCorporate Director · Individual0%89 facilities
Herseth Sandlin, StephanieCorporate Director · Individual0%86 facilities
Lundeen, MarkCorporate Director · Individual0%89 facilities
Middleton, AimeeCorporate Officer · Individual0%87 facilities
Molbert, LaurisCorporate Director · Individual0%89 facilities
Norby, NicklosW-2 Managing Employee · Individual0%2 facilities
North, AndrewCorporate Director · Individual0%89 facilities
Olson, NicholasCorporate Officer · Individual0%87 facilities
Rogers, MichaelCorporate Officer · Individual0%18 facilities
Schema, NathanCorporate Officer · Individual0%87 facilities
Shulkin, DavidCorporate Director · Individual0%85 facilities
Teiken, BrentCorporate Director · Individual0%89 facilities
Ventling-Herrmann, MarnieCorporate Director · Individual0%90 facilities

·

Fire safety

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

Smoke11F
  1. F

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

    May 26, 2026 · K321 · Corrected June 18, 2026

  2. F

    Install corridor and hallway doors that block smoke.

    May 26, 2026 · K363 · Corrected June 18, 2026

  3. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    May 26, 2026 · K374 · Corrected June 18, 2026

  4. E

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

    November 21, 2024 · K321 · Corrected December 31, 2024

  5. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    November 21, 2024 · K374 · Corrected December 31, 2024

  6. F

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

    September 26, 2023 · K321 · Corrected October 12, 2023

  7. F

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

    September 26, 2023 · K345 · Corrected October 12, 2023

  8. F

    Inspect, test, and maintain automatic sprinkler systems.

    September 26, 2023 · K353 · Corrected October 12, 2023

  9. F

    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

    September 26, 2023 · K361 · Corrected October 12, 2023

  10. E

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    September 26, 2023 · K362 · Corrected October 12, 2023

  11. E

    Install corridor and hallway doors that block smoke.

    September 26, 2023 · K363 · Corrected October 12, 2023

Miscellaneous4F
  1. F

    Have restrictions on the use of highly flammable decorations.

    May 26, 2026 · K753 · Corrected June 18, 2026

  2. E

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

    May 26, 2026 · K741 · Corrected June 18, 2026

  3. F

    Have simulated fire drills held at unexpected times.

    November 21, 2024 · K712 · Corrected December 31, 2024

  4. F

    Have simulated fire drills held at unexpected times.

    September 26, 2023 · K712 · Corrected October 12, 2023

Egress3F
  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 26, 2026 · K222 · Corrected June 18, 2026

  2. F

    Have properly located and lighted "Exit" signs.

    May 26, 2026 · K293 · Corrected June 18, 2026

  3. E

    Have correct number of accessible exits for each story.

    September 26, 2023 · K241 · Corrected October 12, 2023

·

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