SNF
Good Samaritan Society - Millard
CCN: 285098 · Omaha, NE 68137 · Douglas County
Overview
- Address
- 12856 Deauville Drive, Omaha, NE 68137
- Phone
- 4028952266
- Certified beds
- 106
- Avg daily residents
- 68 (64% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1990-07-16
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.61 | 3.29 | 4.24 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.91 | 0.58 | 1.07 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.42 | 0.73 | 0.50 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.28 | 1.98 | 2.67 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.33 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.06 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
2.80
hrs / resident / day
RN (weekend)
0.63
hrs / resident / day
Total nurse (adjusted, weekend)
3.28
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
42.2%
annual
RN turnover
30.8%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.17
higher acuity than avg
Case-Mix Index Ratio
0.85
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-11-21 | 3 | 3 | 0 | 16 | 1 | 16 |
| Cycle 2/3 (prior) | 2023-09-26 | 10 | 1 | 10 | 52 | 1 | 52 |
Total weighted health score
25.0
lower is better
Deficiencies (16)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
16 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-24 | 2025-03-05 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-24 | 2025-03-05 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | F | 2025-02-24 | 2025-03-05 |
| 0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2024-11-21 | 2024-12-31 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-11-21 | 2024-12-31 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-11-21 | 2024-12-31 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2023-09-26 | 2023-11-03 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-06-06 | 2023-07-14 |
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-06-06 | 2023-07-14 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-06-06 | 2023-07-14 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-06-06 | 2023-07-14 |
| 0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | 2023-06-06 | 2023-07-14 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-06-06 | 2023-07-14 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2022-08-16 | 2022-08-30 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-08-16 | 2022-08-30 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2022-08-16 | 2022-08-30 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 7.5% Medicaid 46.7% Other 45.8%
Operating performance
Operating Margin
-2.7%
Total Margin
-2.4%
Occupancy Rate
46.0%
Cost per Resident Day
$45
Revenue & costs
Net Patient Revenue
$6.2M
Total Costs
$794K
Net Income
-$149K
Balance sheet
Total Assets
$3.2M
Total Liabilities
$176K
Fund Balance
$3.0M
Current Ratio
4.94
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: GOOD SAMARITAN SOCIETY
- Chain ID
726- Facilities in chain
- 89
- Legal business name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Chain-average star ratings (for peer context)
Overall
3.0
Health
2.9
Staffing
3.8
QM
2.9
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| SANFORD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/2021 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2019 |
Owner / manager individuals (20)
| Name | Role | Association |
|---|---|---|
| CAIN, JAMES | CORPORATE DIRECTOR | since 05/30/2024 |
| DYKHOUSE, DANA | CORPORATE DIRECTOR | since 05/30/2024 |
| ENGBRECHT, WESLEY | CORPORATE DIRECTOR | since 05/30/2024 |
| GASSEN, WILLIAM | CORPORATE DIRECTOR | since 05/30/2024 |
| GULSVIG, NEIL | CORPORATE DIRECTOR | since 05/30/2024 |
| HERSETH SANDLIN, STEPHANIE | CORPORATE DIRECTOR | since 05/30/2024 |
| LUNDEEN, MARK | CORPORATE DIRECTOR | since 05/30/2024 |
| MOLBERT, LAURIS | CORPORATE DIRECTOR | since 05/30/2024 |
| NORTH, ANDREW | CORPORATE DIRECTOR | since 05/30/2024 |
| SHULKIN, DAVID | CORPORATE DIRECTOR | since 05/30/2024 |
| TEIKEN, BRENT | CORPORATE DIRECTOR | since 05/30/2024 |
| VENTLING-HERRMANN, MARNIE | CORPORATE DIRECTOR | since 05/30/2024 |
| FLUIT, JOEL | CORPORATE OFFICER | since 10/01/2022 |
| GASSEN, WILLIAM | CORPORATE OFFICER | since 05/30/2024 |
| MIDDLETON, AIMEE | CORPORATE OFFICER | since 01/27/2022 |
| OLSON, NICHOLAS | CORPORATE OFFICER | since 04/08/2024 |
| ROGERS, MICHAEL | CORPORATE OFFICER | since 06/13/2022 |
| SCHEMA, NATHAN | CORPORATE OFFICER | since 01/01/2022 |
| BASHIR RAFIQ, NAUREEN | CONTRACTED MANAGING EMPLOYEE | since 04/01/2024 |
| NORBY, NICKLOS | W-2 MANAGING EMPLOYEE | since 01/01/2018 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $45 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 4.94 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 46.7% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 7.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-149,213 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $6,204,609 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 46.0% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -2.7% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $3,215,431 | metrics.total_assets |
| Cost Report | Total Costs ($) | $793,598 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $3,039,770 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $175,661 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -2.4% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.49798 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.67307 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.06842 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.23947 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.28499 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 67.6 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.73015 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 1.98438 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.57552 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.29004 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.89982 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.9 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.0 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.9 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.8 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 726 | Chain ID |
| Provider Information | Chain Name | GOOD SAMARITAN SOCIETY | Chain Name |
| Provider Information | City/Town | Omaha | City/Town |
| Provider Information | CMS Certification Number (CCN) | 285098 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Douglas | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1990-07-16 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 41.2038 | Latitude |
| Provider Information | Legal Business Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Legal Business Name |
| Provider Information | Location | 12856 Deauville Drive,Omaha,NE,68137 | Location |
| Provider Information | Long-Stay QM Rating | 2 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -96.116 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 106 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 89 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.16551 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.84602 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 12856 Deauville Drive | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Good Samaritan Society - Millard | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 270 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 16 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-11-21 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 16 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 3 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 1 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-09-26 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 52 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 10 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 52 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 10 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.63139 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 30.8 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.33479 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.42435 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.27783 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.05565 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.91044 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.61261 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NE | State |
| Provider Information | Telephone Number | 4028952266 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.79927 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 42.2 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 25.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 68137 | ZIP Code |