Good Samaritan Society - St John's

Name: Good Samaritan Society - St John's
Address: 3410 Central Avenue, Kearney, NE, 68847, US
Telephone: 3082341888

3410 Central Avenue, Kearney, NE 68847 · Buffalo County · 56 certified beds · avg 46 residents/day · certified since Jun 1, 1996

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

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.66

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Apr 2, 2026 · F-0760

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Apr 27, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (30)

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
Jun 8, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 2, 2026	▲ G · Actual harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Apr 2, 2026	E · Potential for harm, repeated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Apr 2, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Apr 2, 2026	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).
Apr 2, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 2, 2026	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. · from a complaint
Apr 2, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jul 2, 2025	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. · from a complaint
Jul 2, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 6, 2025	F · Potential for harm, facility-wide	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.
Jan 6, 2025	F · Potential for harm, facility-wide	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jan 6, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jan 6, 2025	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 6, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 6, 2025	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. · from a complaint
Jan 6, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jan 6, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 10, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 13, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 13, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 13, 2023	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Dec 13, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Dec 13, 2023	E · Potential for harm, repeated	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.
Dec 13, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 13, 2023	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.
Dec 13, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	0	F
2024	1	0	D
2025	10	0	F
2026	11	1	G ▲

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)

0 fines totaling $0, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Apr 2, 2026	Payment Denial	8 days from Apr 28, 2026

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)	3.66	4.33	3.95	bottom 25% in Nebraska; bottom 45% in the U.S.
Registered Nurse hours	0.77	0.72	0.69	top 38% in Nebraska; top 30% in the U.S.
Weekend total nurse staffing	3.02	3.79	3.50	bottom 17% in Nebraska; bottom 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.42	0.47	0.48	top 48% in Nebraska; top 45% in the U.S.
Total nursing staff turnover (%)	51.1	48.7	45.8	bottom 43% in Nebraska; bottom 34% in the U.S.
RN turnover (%)	50.0	44.1	42.9	bottom 43% in Nebraska; bottom 39% 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 3.40, RN 0.71, weekend 2.80. 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: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5

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
Cain, James	Individual	Corporate Director	NOT APPLICABLE	05/30/2024
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
Gassen, William	Individual	Corporate Director	NOT APPLICABLE	05/30/2024
Gassen, William	Individual	Corporate Officer	NOT APPLICABLE	05/30/2024
Gulsvig, Neil	Individual	Corporate Director	NOT APPLICABLE	05/30/2024
Herseth Sandlin, Stephanie	Individual	Corporate Director	NOT APPLICABLE	05/30/2024
Lundeen, Mark	Individual	Corporate Director	NOT APPLICABLE	05/30/2024
Middleton, Aimee	Individual	Corporate Officer	NOT APPLICABLE	01/27/2022
Molbert, Lauris	Individual	Corporate Director	NOT APPLICABLE	05/30/2024
Morrison, Tony	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2019
North, Andrew	Individual	Corporate Director	NOT APPLICABLE	05/30/2024
Olson, Nicholas	Individual	Corporate Officer	NOT APPLICABLE	04/08/2024
Richardson, Abby	Individual	Contracted Managing Employee	NOT APPLICABLE	04/01/2024
Rogers, Michael	Individual	Corporate Officer	NOT APPLICABLE	06/13/2022
Schema, Nathan	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Shulkin, David	Individual	Corporate Director	NOT APPLICABLE	05/30/2024

Questions to ask on your visit

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

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you explain health changes and treatment options to residents and their families?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"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
Mother Hull Home	0.8 mi	Kearney, NE	★★☆☆☆	2/5
Mt Carmel Home - Keens Memorial	1.2 mi	Kearney, NE	★★★★☆	4/5
Good Samaritan Society - St Luke's Village	1.5 mi	Kearney, NE	★☆☆☆☆	1/5
Brookestone Gardens	2.5 mi	Kearney, NE	★★★★★	3/5
Bethany Home, INC	16.1 mi	Minden, NE	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Kearney →

Facility data as of CMS processing date 2026-08-01. CCN 285189.

The Care File

Visit checklist — Good Samaritan Society - St John's

3410 Central Avenue, Kearney, NE 68847 · 3082341888

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Apr 2, 2026 (F-0760, Actual harm, one-off): The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "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 285189 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)