Nursing homeActive

Good Samaritan Society -- Fort Collins Village

508 W Trilby Rd, Fort Collins, CO 80525970226490964 certified beds · 60 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
9
090
Penalties · 3 yrs
none on file
Last survey
2025-12-04
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Colorado Department of Public Health & Environment · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-12-04Standard040CMS-2567 (Care Compare)
2024-01-09Standard040CMS-2567 (Care Compare)
2022-09-21Standard010CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Colorado Department of Public Health & Environment publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-12-04Standard survey · 4 deficienciesOfficial report
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-03Record 065227-20251204-F688
F742Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-03Record 065227-20251204-F742
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-03Record 065227-20251204-F849
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-03Record 065227-20251204-F881
2024-01-09Standard survey · 4 deficienciesOfficial report
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-09Record 065227-20240109-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-09Record 065227-20240109-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-09Record 065227-20240109-F881
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-09Record 065227-20240109-F883
2022-09-21Standard survey · 1 deficiencyOfficial report
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-21Record 065227-20220921-F759

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.18
Facility
Colorado
National
Colorado 0.82 · National 0.69
Total nurse hours per resident day3.49
Facility
Colorado
National
Colorado 3.72 · National 3.86
Weekend total nurse hours3.04
Facility
Colorado
National
Colorado 3.30 · National 3.42
Total nursing staff turnover38%
Facility
Colorado
National
Colorado 47% · National 46%
Registered nurse turnover38%
Facility
Colorado
National
Colorado 45% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityColoradoNational
Percentage of long-stay residents with pressure ulcers
lower is better
0.0%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.9%3.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
15.9%20.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.3%1.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
11.4%13.4%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
7.0%4.7%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
8.2%11.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Sanford
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
The Evangelical Lutheran Good Samaritan Society
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
Bermingham, Roger
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Morrison, Tony
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sandgren, Deeandra
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sanford
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Schlichting, John
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
The Evangelical Lutheran Good Samaritan Society
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bermingham, Roger
Individual
ADP OF THE SNFNOT APPLICABLE
Brown, George
Individual
ADP OF THE SNFNOT APPLICABLE
Brown, George
Individual
CORPORATE DIRECTORNOT APPLICABLE
Dtn Staffing Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Dykhouse, Dana
Individual
CORPORATE DIRECTORNOT APPLICABLE
Dykhouse, Dana
Individual
ADP OF THE SNFNOT APPLICABLE
Engbrecht, Wesley
Individual
CORPORATE DIRECTORNOT APPLICABLE
Engbrecht, Wesley
Individual
ADP OF THE SNFNOT APPLICABLE
Fluit, Joel
Individual
ADP OF THE SNFNOT APPLICABLE
Fluit, Joel
Individual
CORPORATE OFFICERNOT APPLICABLE
Fluit, Joel
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Focusone Solutions
Organization
ADP OF THE SNFNOT APPLICABLE
Gassen, William
Individual
ADP OF THE SNFNOT APPLICABLE
Gassen, William
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gassen, William
Individual
CORPORATE OFFICERNOT APPLICABLE
Grape Tree Medical Staffing LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Gulsvig, Neil
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gulsvig, Neil
Individual
ADP OF THE SNFNOT APPLICABLE
Herseth Sandlin, Stephanie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Herseth Sandlin, Stephanie
Individual
ADP OF THE SNFNOT APPLICABLE
Lundeen, Mark
Individual
ADP OF THE SNFNOT APPLICABLE
Lundeen, Mark
Individual
CORPORATE DIRECTORNOT APPLICABLE
Mccausland, Maureen
Individual
ADP OF THE SNFNOT APPLICABLE
Mccausland, Maureen
Individual
CORPORATE DIRECTORNOT APPLICABLE
Middleton, Aimee
Individual
ADP OF THE SNFNOT APPLICABLE
Middleton, Aimee
Individual
CORPORATE OFFICERNOT APPLICABLE
Molbert, Lauris
Individual
ADP OF THE SNFNOT APPLICABLE
Molbert, Lauris
Individual
CORPORATE DIRECTORNOT APPLICABLE
Morrison, Tony
Individual
ADP OF THE SNFNOT APPLICABLE
North, Andrew
Individual
ADP OF THE SNFNOT APPLICABLE
North, Andrew
Individual
CORPORATE DIRECTORNOT APPLICABLE
Olson, Nicholas
Individual
CORPORATE OFFICERNOT APPLICABLE
Olson, Nicholas
Individual
ADP OF THE SNFNOT APPLICABLE
Sandgren, Deeandra
Individual
ADP OF THE SNFNOT APPLICABLE
Sanford
Organization
ADP OF THE SNFNOT APPLICABLE
Schema, Nathan
Individual
ADP OF THE SNFNOT APPLICABLE
Schema, Nathan
Individual
CORPORATE OFFICERNOT APPLICABLE
Schieffer, Kevin
Individual
ADP OF THE SNFNOT APPLICABLE
Schieffer, Kevin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Schlichting, John
Individual
ADP OF THE SNFNOT APPLICABLE
Shulkin, David
Individual
ADP OF THE SNFNOT APPLICABLE
Shulkin, David
Individual
CORPORATE DIRECTORNOT APPLICABLE
Teiken, Brent
Individual
ADP OF THE SNFNOT APPLICABLE
Teiken, Brent
Individual
CORPORATE DIRECTORNOT APPLICABLE
The Evangelical Lutheran Good Samaritan Society
Organization
ADP OF THE SNFNOT APPLICABLE
Ventling-Herrmann, Marnie
Individual
ADP OF THE SNFNOT APPLICABLE
Ventling-Herrmann, Marnie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wenzel, Thomas
Individual
ADP OF THE SNFNOT APPLICABLE
Wenzel, Thomas
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
Good Samaritan Society92 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Colorado.

No county cost figures on file for Larimer.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Lemay Avenue Health And Rehab LLC
Fort Collins
2.4 mi2026-06-01071
Centre Avenue Health And Rehab LLC
Fort Collins
4.2 mi2026-05-21010
Columbine West Health And Rehab LLC
Fort Collins
4.3 mi2026-06-160122
North Shore Health & Rehab Facility
Loveland
5.1 mi2026-04-22070
Creekside Village Rehabilitation And Nursing LLC
Fort Collins
5.0 mi2026-04-300335
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01