Good Samaritan Society - Grand Island Village
4061 & 4055 Timberline Street & 2912 Good Samarita, Grand Island, NE, 68803
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Good Samaritan Society
- Certified beds
- 67 · avg 48 residents/day
- Total nursing staff turnover
- 57.1% — higher than most Nebraska nursing homesNebraska avg: 48.7% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 37.5% — lower than most Nebraska nursing homesNebraska avg: 43.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Nebraska averageNebraska avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $10,033 total
Medicare certification
- CMS Certification Number
- 285285
- Certified beds
- 67 beds · avg 48 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- Yes
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- The Evangelical Lutheran Good Samaritan Society
- Chain affiliation
- Good Samaritan Society
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Good Samaritan Society chain — 92 facilities across 10 states. Chain-wide average overall rating 3.0 / 5.
Disclosed owners (22 on record)
- Andrew Stewart North
Corporate Director · since 2024
- Brent Gerard Teiken
Corporate Director · since 2024
- Dana James Dykhouse
Corporate Director · since 2024
- David Jonathan Shulkin
Corporate Director · since 2024
- James Edward Cain
Corporate Director · since 2024
- Lauris Nelson Molbert
Corporate Director · since 2024
+ 16 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 22)
- D0880·Dec 30, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·Dec 30, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0759·Dec 30, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0755·Dec 30, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0686·Dec 30, 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E0655·Dec 30, 2025
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D0628·Dec 30, 2025
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D0609·Dec 30, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal penalties
By year
- 20241 fine · $10K
Most recent events
- Sep 3, 2024Fine · $10K
Fire-safety citations
20 Life-Safety-Code citations on file. Most recent: Dec 30, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Good Samaritan Society - Grand Island Villageinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.