Nursing homeActive
Good Samaritan - Ellsworth
1156 Highway 14, Ellsworth, KS 67439785472316743 certified beds · 36 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
18
● 0● 17● 1
Penalties · 3 yrs
—
none on file
Last survey
2026-05-21
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Kansas Department for Aging and Disability Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-21 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-02 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2023-08-01 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-03-07 | Standard | 060 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Kansas Department for Aging and Disability Services 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.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 175231-20260521-F689
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-31Record 175231-20240702-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-31Record 175231-20240702-F684
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-31Record 175231-20240702-F690
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-31Record 175231-20240702-F699
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-31Record 175231-20240702-F756
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-31Record 175231-20240702-F758
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 2024-07-31Record 175231-20240702-F812
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-31Record 175231-20240702-F868
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-31Record 175231-20240702-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-31Record 175231-20240702-F881
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-07-30Record 175231-20230801-F684
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 175231-20230307-F600
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 175231-20230307-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 175231-20230307-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 175231-20230307-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 175231-20230307-F690
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 175231-20230307-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.74
Facility
Kansas
National
Kansas 0.71 · National 0.69
Total nurse hours per resident day3.64
Facility
Kansas
National
Kansas 4.07 · National 3.86
Weekend total nurse hours3.16
Facility
Kansas
National
Kansas 3.60 · National 3.42
Total nursing staff turnover53%
Facility
Kansas
National
Kansas 48% · National 46%
Registered nurse turnover29%
Facility
Kansas
National
Kansas 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Kansas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.3% | 4.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.4% | 4.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 26.3% | 18.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.4% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 18.4% | 17.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.9% | 4.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 38.1% | 23.2% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Sanford Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| The Evangelical Lutheran Good Samaritan Society Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bailey, Courtney Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Morrison, Tony Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Slomka, Jerzy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bailey, Courtney Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brown, George Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Brown, George Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dtn Staffing Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dykhouse, Dana Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dykhouse, Dana Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Engbrecht, Wesley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Engbrecht, Wesley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fluit, Joel Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fluit, Joel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Fluit, Joel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Focusone Solutions Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gassen, William Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gassen, William Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gassen, William Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Grape Tree Medical Staffing LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gulsvig, Neil Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gulsvig, Neil Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Herseth Sandlin, Stephanie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Herseth Sandlin, Stephanie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lundeen, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lundeen, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mccausland, Maureen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mccausland, Maureen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Middleton, Aimee Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Middleton, Aimee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Molbert, Lauris Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Molbert, Lauris Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Morrison, Tony Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| North, Andrew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| North, Andrew Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Olson, Nicholas Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Olson, Nicholas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Omnicare LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sandgren, Deeandra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sandgren, Deeandra Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Sanford Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schema, Nathan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Schema, Nathan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schieffer, Kevin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schieffer, Kevin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shulkin, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shulkin, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Slomka, Jerzy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Teiken, Brent Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Teiken, Brent Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Evangelical Lutheran Good Samaritan Society Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ventling-Herrmann, Marnie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ventling-Herrmann, Marnie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wenzel, Thomas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wenzel, Thomas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Good Samaritan Society — 92 facilities
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 Kansas.
No county cost figures on file for Ellsworth.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Wilson Care And Rehab Wilson | 14.8 mi | 2025-12-11 | 0160 |
| Lincoln Park Manor Inc Lincoln | 23.3 mi | 2025-08-20 | 0250 |
| Sandstone Heights Little River | 25.0 mi | 2025-03-13 | 042 |
| Riverview Estates Marquette | 24.5 mi | 2025-06-02 | 0102 |
| Sterling Village Sterling | 34.8 mi | 2025-01-23 | 061 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |