Home / Colorado / Fort Collins
Good Samaritan Society -- Fort Collins Village
508 W Trilby Rd, Fort Collins, CO 80525 · Larimer County · (970) 226-4909
64 certified beds, about 60 residents a day · Non profit - Corporation · Medicare and Medicaid since 1986
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065227 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 4, 2025, inspectors cited 4 health deficiencies (the Colorado average is 8.7, the national average 9.2).
None of its 9 health citations since September 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.49 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 1.18 of those hours.
38.2% of nursing staff left within the year CMS measured (Colorado average 47.1%).
CMS links it to Good Samaritan Society, an affiliated group of 92 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
109/22
401/24
412/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
2E
2F
Potential for minimal harm
0A
0B
0C
December 4, 2025Standard inspection · 4 citations
- D Provide 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.
Inspectors wroteBased on record review and interviews, the facility failed to ensure residents with limited range of motion (ROM) received appropriate treatment and services to increase ROM and/or prevent further decrease in ROM for one (#43) of three residents reviewed for restorative services out of 29 sample residents. Specifically, the facility failed to ensure Resident #43 was provided with a splint or palm guard in her left hand to prevent potential worsening of her hand contracture (a condition of shortening and hardening of muscles, tendons or other tissue, often leading to deformity and rigidity of joints).
- D Provide 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.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure residents diagnosed with a mental disorder or psychosocial adjustment difficulty received appropriate treatment and services to attain the highest practicable mental and psychosocial well-being for two (#70 and #10) of five residents out of 29 sample residents. Specifically, the facility failed to: -Identify Resident #70 had a history of suicidal ideation in order to monitor for worsening signs and symptoms of depression or suicidal ideation; -Identify and implement effective interventions for Resident #10's yelling behavior;-Ensure hours of sleep were monitored for Resident #10 while she was on antidepressant medications known to cause drowsiness; and, -Ensure Resident #70 and Resident #10 were offered mental health services.
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on record review and interviews, the facility failed to ensure the hospice services provided met professional standards and principles that applied to individuals providing services in the facility for one (#8) of three residents reviewed for hospice services out of 29 sample residents. Specifically, the facility failed to:-Establish an effective communication process, including how the communication would be documented between the facility and the hospice services provider for Resident #8; and,-Ensure the hospice agency's care notes were easily accessible to the facility staff and included consistent documentation of the hospice care visits in Resident #8's electronic medical record (EMR).
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and interviews, the facility failed to establish an effective antibiotic stewardship program that included antibiotic use protocols and a system to monitor antibiotic use for two (#16 and #48) of the five residents reviewed for antibiotic use out of 29 sample residents. Specifically, the facility failed to track and monitor the use of long-term antibiotics for Resident #16 and Resident #48.
January 9, 2024Standard inspection, Complaint inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews and record review the facility failed to store, prepare, distribute and serve food in a sanitary manner in two of two nourishment rooms. Specifically, the facility failed to: -Ensure food was labeled and dated in the nourishment rooms; and, -Ensure timely inspection of the ice machine and ice machine water filter.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record review and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the possible development and transmission of infectious disease. Specifically, the facility failed to: -Ensure professional standards of infection control were followed when cleaning resident rooms and bathrooms; and, -Ensure the facility followed the infection control program when Resident #17 had gastrointestinal symptoms.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and interviews, the facility failed implement an antibiotic stewardship program that included antibiotic use protocols and a system to monitor antibiotic use for three (#7, #16 and #5) of five residents reviewed for antibiotic use out of 29 sample residents. Specifically, the facility failed to ensure clinical signs and symptoms of an infection were identified and/or culture results were obtained prior to the administration of antibiotics for Residents #7, Resident #16 and Resident #5.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interviews, the facility failed to implement policies and procedures related to pneumococcal immunizations for eight (#9, #18, #21, #32, #5, #25, #3 and #16) of 10 residents reviewed for immunizations out of 29 sample residents. Specifically, the facility failed to: -Determine if additional doses of the pneumococcal vaccination were needed and offer the additional doses of the pneumococcal vaccination as needed to Resident #9, #18, #21, #5 and #25; -Offer Resident #32 a pneumococcal vaccination upon admission; -Offer Resident #32 an annual influenza vaccination; and, -Document declination forms, document risk versus benefit education and re-offer the pneumococcal vaccination annually for Resident #16 and Resident #3.
September 21, 2022Standard inspection · 1 citation
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, interviews, record review, and review of facility policy, the facility failed to maintain a medication error rate of 5% or less. There were two errors out of 34 opportunities, which resulted in a 5.88% medication error rate for two (Resident #19 and Resident #21) of three residents observed for medication administration.
Fire safety inspections
13 fire safety citations on file: 8 on December 4, 2025, 4 on January 9, 2024, 1 on September 21, 2022.
Every fire safety citation13 citations
- F Meet other general requirements.
- F Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F Have properly located and lighted "Exit" signs.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Install corridor and hallway doors that block smoke.
- F Meet requirements for the installation and maintenance of electrical systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- D Provide properly protected cooking facilities.
- D Have properly installed electrical wiring and gas equipment.
- F Install emergency lighting that can last at least 1 1/2 hours.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Colorado | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.49 | 3.72 | 3.86 |
| Registered nurses | 1.18 | 0.82 | 0.69 |
| All nursing staff on weekends | 3.04 | 3.29 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 0.14 | ||
| Nursing staff turnover (share who left in a year) | 38.2% | 47.1% | 45.8% |
| Registered nurse turnover | 37.5% | 44.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.37 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.68 on weekdays and 3.04 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.44 in April to June 2025 to 3.49 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.49 | 1.18 | 3.68 | 3.04 | 0.2% | 0 of 90 | 60 |
| Oct to Dec 2025 | 3.48 | 0.93 | 3.65 | 3.05 | 0.0% | 0 of 92 | 59 |
| Jul to Sep 2025 | 3.45 | 1.11 | 3.65 | 2.92 | 0.0% | 0 of 92 | 57 |
| Apr to Jun 2025 | 3.44 | 1.10 | 3.68 | 2.85 | 0.0% | 0 of 91 | 56 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Colorado, Jan to Mar 2026 | 3.59 | 0.76 | 3.75 | 3.18 | 5.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Colorado | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.4 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.4 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.9 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.0 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.9 | 20.0 | 15.4 |
Owners and operators
Legal business name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. CMS links this home to Good Samaritan Society, a group of 92 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sanford | 5% or greater direct ownership interest | Organization | 100% | 01/01/2019 |
| The Evangelical Lutheran Good Samaritan Society | 5% or greater indirect ownership interest | Organization | 100% | 01/01/2019 |
| Brown, George | Corporate director | Individual | 01/01/2025 | |
| Dykhouse, Dana | Corporate director | Individual | 05/30/2024 | |
| Engbrecht, Wesley | Corporate director | Individual | 05/30/2024 | |
| Gassen, William | Corporate director | Individual | 05/30/2024 | |
| Gulsvig, Neil | Corporate director | Individual | 05/30/2024 | |
| Herseth Sandlin, Stephanie | Corporate director | Individual | 05/30/2024 | |
| Lundeen, Mark | Corporate director | Individual | 05/30/2024 | |
| McCausland, Maureen | Corporate director | Individual | 01/01/2025 | |
| Molbert, Lauris | Corporate director | Individual | 05/30/2024 | |
| North, Andrew | Corporate director | Individual | 05/30/2024 | |
| Schieffer, Kevin | Corporate director | Individual | 01/01/2025 | |
| Shulkin, David | Corporate director | Individual | 05/30/2024 | |
| Teiken, Brent | Corporate director | Individual | 05/30/2024 | |
| Ventling-Herrmann, Marnie | Corporate director | Individual | 05/30/2024 | |
| Wenzel, Thomas | Corporate director | Individual | 01/01/2025 | |
| Fluit, Joel | Corporate officer | Individual | 10/01/2022 | |
| Gassen, William | Corporate officer | Individual | 05/30/2024 | |
| Middleton, Aimee | Corporate officer | Individual | 01/27/2022 | |
| Olson, Nicholas | Corporate officer | Individual | 04/08/2024 | |
| Schema, Nathan | Corporate officer | Individual | 01/01/2022 | |
| Sanford | Operational/managerial control | Organization | 01/01/2019 | |
| The Evangelical Lutheran Good Samaritan Society | Operational/managerial control | Organization | 01/01/2019 | |
| Bermingham, Roger | Operational/managerial control | Individual | 02/09/2018 | |
| Morrison, Tony | Operational/managerial control | Individual | 01/01/2019 | |
| Sandgren, Deeandra | Operational/managerial control | Individual | 07/16/2023 | |
| Schlichting, John | Operational/managerial control | Individual | 10/31/2022 | |
| Fluit, Joel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/17/2026 | |
| Dtn Staffing Inc | Adp of the SNF | Organization | 08/02/2024 | |
| Focusone Solutions | Adp of the SNF | Organization | 03/04/2024 | |
| Grape Tree Medical Staffing LLC | Adp of the SNF | Organization | 04/13/2018 | |
| Sanford | Adp of the SNF | Organization | 11/13/2025 | |
| The Evangelical Lutheran Good Samaritan Society | Adp of the SNF | Organization | 01/01/2019 | |
| Bermingham, Roger | Adp of the SNF | Individual | 02/09/2018 | |
| Brown, George | Adp of the SNF | Individual | 01/01/2025 | |
| Dykhouse, Dana | Adp of the SNF | Individual | 05/30/2024 | |
| Engbrecht, Wesley | Adp of the SNF | Individual | 05/30/2024 | |
| Fluit, Joel | Adp of the SNF | Individual | 10/01/2022 | |
| Gassen, William | Adp of the SNF | Individual | 05/30/2024 | |
| Gulsvig, Neil | Adp of the SNF | Individual | 05/30/2024 | |
| Herseth Sandlin, Stephanie | Adp of the SNF | Individual | 05/30/2024 | |
| Lundeen, Mark | Adp of the SNF | Individual | 05/30/2024 | |
| McCausland, Maureen | Adp of the SNF | Individual | 01/01/2025 | |
| Middleton, Aimee | Adp of the SNF | Individual | 01/27/2022 | |
| Molbert, Lauris | Adp of the SNF | Individual | 05/30/2024 | |
| Morrison, Tony | Adp of the SNF | Individual | 01/01/2019 | |
| North, Andrew | Adp of the SNF | Individual | 05/30/2024 | |
| Olson, Nicholas | Adp of the SNF | Individual | 04/08/2024 | |
| Sandgren, Deeandra | Adp of the SNF | Individual | 07/16/2023 | |
| Schema, Nathan | Adp of the SNF | Individual | 01/01/2022 | |
| Schieffer, Kevin | Adp of the SNF | Individual | 01/01/2025 | |
| Schlichting, John | Adp of the SNF | Individual | 10/31/2022 | |
| Shulkin, David | Adp of the SNF | Individual | 05/30/2024 | |
| Teiken, Brent | Adp of the SNF | Individual | 05/30/2024 | |
| Ventling-Herrmann, Marnie | Adp of the SNF | Individual | 05/30/2024 | |
| Wenzel, Thomas | Adp of the SNF | Individual | 01/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on December 4, 2025: "Implement a program that monitors antibiotic use."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on December 4, 2025: "Provide 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."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on December 4, 2025: "Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on January 9, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.04 hours per resident per day, below the Colorado average of 3.29.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Lemay Avenue Health and Rehab LLC Fort Collins, 2.4 mi · 4 of 5 stars · 11 citations
- Centre Avenue Health and Rehab LLC Fort Collins, 4.2 mi · 5 of 5 stars · 6 citations
- Columbine West Health and Rehab LLC Fort Collins, 4.3 mi · 3 of 5 stars · 16 citations
- Creekside Village Rehabilitation and Nursing LLC Fort Collins, 5 mi · 1 of 5 stars · 53 citations
- North Shore Health & Rehab Facility Loveland, 5.1 mi · 4 of 5 stars · 19 citations
- Poudre Canyon Rehabilitation and Nursing, LLC Fort Collins, 5.7 mi · 1 of 5 stars · 43 citations
- Storybrook Care & Rehabilitation Fort Collins, 5.7 mi · 1 of 5 stars · 34 citations
- Rehabilitation and Nursing Center of the Rockies Fort Collins, 5.8 mi · 3 of 5 stars · 21 citations
Colorado contacts for a concern about a nursing home
These are the official offices in Colorado. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Colorado Department of Public Health and Environment, Health Facilities and Emergency Medical Services Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Colorado State Long-Term Care Ombudsman Program, 303-862-3524. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Find and compare facilities, where Colorado publishes its own records on licensed homes.
Common questions
- What is Good Samaritan Society -- Fort Collins Village's Medicare star rating?
- CMS rates Good Samaritan Society -- Fort Collins Village 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Good Samaritan Society -- Fort Collins Village get at its last inspection?
- 4 health deficiencies at the standard inspection on December 4, 2025. The Colorado average is 8.7.
- Has Good Samaritan Society -- Fort Collins Village been fined?
- CMS lists no fines in the last three years.
- Does Good Samaritan Society -- Fort Collins Village accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Good Samaritan Society -- Fort Collins Village?
- CMS lists 57 owners and managers, and links the home to Good Samaritan Society. Legal business name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.