Good Samaritan Society - Colonial Villa

Name: Good Samaritan Society - Colonial Villa
Address: 719 North Brown Street, Alma, NE, 68920, US
Telephone: 3089282128

719 North Brown Street, Alma, NE 68920 · Harlan County · 53 certified beds · avg 34 residents/day · certified since May 1, 1996

Part of chain: GOOD SAMARITAN SOCIETY (92 facilities, chain avg rating 3.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.59

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (9)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Sep 16, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 16, 2025	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jul 23, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 23, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 23, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jul 23, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Jun 21, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 21, 2023	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jun 21, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 2).

Year	Citations	Worst severity that year
2023	3	E
2024	4	D
2025	2	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Nebraska avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.59	4.33	3.95	bottom 20% in Nebraska; bottom 41% in the U.S.
Registered Nurse hours	0.72	0.72	0.69	top 43% in Nebraska; top 34% in the U.S.
Weekend total nurse staffing	3.03	3.79	3.50	bottom 17% in Nebraska; bottom 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.58	0.47	0.48	top 26% in Nebraska; top 24% in the U.S.
Total nursing staff turnover (%)	41.9	48.7	45.8	top 38% in Nebraska; top 41% in the U.S.
RN turnover (%)	60.0	44.1	42.9	bottom 32% in Nebraska; bottom 22% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.15, RN 0.63, weekend 2.65. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Sanford	Organization	5% or Greater Direct Ownership Interest	100%	01/01/2019
The Evangelical Lutheran Good Samaritan Society	Organization	5% or Greater Indirect Ownership Interest	100%	01/01/2019
Brown, George	Individual	Corporate Director	NOT APPLICABLE	01/01/2025
DTN Staffing INC	Organization	ADP of the SNF	NOT APPLICABLE	08/02/2024
Dykhouse, Dana	Individual	Corporate Director	NOT APPLICABLE	05/30/2024
Engbrecht, Wesley	Individual	Corporate Director	NOT APPLICABLE	05/30/2024
Fluit, Joel	Individual	Corporate Officer	NOT APPLICABLE	10/01/2022
Fluit, Joel	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	01/27/2026
Focusone Solutions	Organization	ADP of the SNF	NOT APPLICABLE	03/04/2024
Gassen, William	Individual	Corporate Director	NOT APPLICABLE	05/30/2024
Gassen, William	Individual	Corporate Officer	NOT APPLICABLE	05/30/2024
Grape Tree Medical Staffing LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/13/2018
Gulsvig, Neil	Individual	Corporate Director	NOT APPLICABLE	05/30/2024
Herseth Sandlin, Stephanie	Individual	Corporate Director	NOT APPLICABLE	05/30/2024
Johnson, Tamara	Individual	Operational/Managerial Control	NOT APPLICABLE	01/30/2017
Johnson, Tamara	Individual	ADP of the SNF	NOT APPLICABLE	01/30/2021
Lundeen, Mark	Individual	Corporate Director	NOT APPLICABLE	05/30/2024
Mannis, Anna	Individual	Operational/Managerial Control	NOT APPLICABLE	01/02/2024
Mannis, Anna	Individual	ADP of the SNF	NOT APPLICABLE	01/29/2025
McCausland, Maureen	Individual	Corporate Director	NOT APPLICABLE	01/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you explain health changes and treatment options to residents and their families?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Accura Healthcare of Franklin	21.3 mi	Franklin, NE	★★☆☆☆	3/5
Christian Homes Health Care Center	23.1 mi	Holdrege, NE	★☆☆☆☆	2/5
Holdrege Memorial Homes, INC	23.5 mi	Holdrege, NE	★★☆☆☆	2/5
Phillips County Retirement Center	24.3 mi	Phillipsburg, KS	★☆☆☆☆	2/5
Beaver City Manor	24.6 mi	Beaver City, NE	★★★☆☆	3/5
Bertrand Nursing Home	32.0 mi	Bertrand, NE	★★★★★	5/5
Logan Manor Community Health Services	32.3 mi	Logan, KS	★★★☆☆	3/5
Andbe Home, INC	33.4 mi	Norton, KS	★★☆☆☆	2/5
Bethany Home, INC	34.5 mi	Minden, NE	★★☆☆☆	2/5
Sunporch of Smith County	38.7 mi	Smith Center, KS	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Alma →

Facility data as of CMS processing date 2026-08-01. CCN 285185.

The Care File

Visit checklist — Good Samaritan Society - Colonial Villa

719 North Brown Street, Alma, NE 68920 · 3089282128

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 285185 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)