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The Good Samaritan Society-Kissimmee Village

1500 Southgate Drive, Kissimmee, FL 34746 · Osceola County · (407) 846-7201

161 certified beds, about 137 residents a day · Non profit - Corporation · Medicare and Medicaid since 1987

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105559 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 11, 2025, inspectors cited 6 health deficiencies (the Florida average is 7.1, the national average 9.2).

Of 16 health citations since March 2022, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $11,629 in the last three years; the largest was $11,629, and the latest is dated November 10, 2023.

Nurses and nurse aides worked 3.42 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.

23.2% of nursing staff left within the year CMS measured (Florida average 41.4%).

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.

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 16 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
10D
3E
1F
Potential for minimal harm
0A
0B
1C
December 11, 2025Standard inspection, Complaint inspection · 7 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 23, 2026
    Inspectors wroteBased on observation, record review and interview the facility failed to ensure potentially hazardous food was at the correct holding temperature, staff followed practices to prevent physical contamination of food and make sure cookware & equipment are clean and sanitary.
  2. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 23, 2026
    Inspectors wroteBased on observation, record review and interview, the facility failed to follow the menu for mashed potato portion size. The facility's non-compliance had the likeliness to potentially affect residents who prefer mashed potatoes.
  3. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 23, 2026
    Inspectors wroteBased on interview, and record review, the facility failed to appropriately record and investigate grievances to ensure resolution in a timely manner for 1 of 2 residents reviewed for grievances, of a total sample of 49 residents, (#145).
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received an accurate assessment that was reflective of their status, needs, and areas of decline for 2 of 2 residents reviewed for resident assessments, of a total sample of 49 residents (#10 and #119).1. Resident #10 was admitted to the facility on [DATE] with diagnoses that included dementia, Alzheimer's disease, mild cognitive impairment, anxiety, adjustment disorder, and chronic obstructive pulmonary disease. Review of the Minimum Data Set (MDS) Quarterly assessment dated [DATE] revealed resident #10 received treatment and services for hospice care, dialysis, tracheostomy care, mechanical ventilator, radiation, and oxygen therapy. [...]
  5. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to complete a new Preadmission Screening and Resident Review (PASARR) level I screening to ensure other mental health services were not required for 2 of 2 residents reviewed for PASARR, of a total sample of 49 residents, (#11 and #107).
  6. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide an ongoing activity program for 3 of 3 residents reviewed for activities, of a total sample of 30 residents, (#5, #8, #135)
  7. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent medication administration error rate of 5% or greater for 1 of 13 residents sampled for medication administration, (#87). There were 2 medication errors in 25 opportunities for a medication error rate of 8%.
February 1, 2024Standard inspection · 4 citations
  1. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 23, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure a thorough investigation was conducted and completed for missing narcotics for 1 of 1 resident of a total sample of 44 residents, (#76).
  2. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 23, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) was completed to evaluate the need for additional mental health resources and appropriate placement of a resident prior to admission for 1 of 1 residents reviewed for PASRRs of a total sample of 44 residents, (#29).
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 23, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure accurate record for receipt and disposition of controlled medications was completed to enable accurate reconciliation, and to account for missing Percocet tablets for 1 of 1 resident of a total sample of 44 residents, (#76).
  4. D
    Implement 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 23, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to act on PRN (as needed) psychotropic medication duration limits for 2 of 5 residents reviewed for Unnecessary Medications from a total sample of 44 residents, (#91, #98).
November 10, 2023Complaint inspection · 1 citation
  1. G
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2023
    Inspectors wroteBased on interview and record review, the facility failed to maintain effective communication between nursing staff and medical providers, and failed to collaborate with a dialysis center to promote adequate treatment, monitoring, and continuity of care for 2 of 2 residents reviewed for dialysis care and services, out of a total sample of 5 residents, (#1 and #3). The facility's failure to respond appropriately to ongoing communication from the dialysis center and failure to coordinate care to ensure necessary services were arranged in a timely manner placed residents #1 and #3 at risk for potential complications and caused actual harm for resident #1, that was inconsistent with the goals of the resident and his representative.
March 24, 2022Standard inspection · 4 citations
  1. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 25, 2022
    Inspectors wroteBased on observation, interview and record review, the facility failed to report an alleged violation of verbal abuse for 1 of 1 resident reviewed for abuse of a total sample of 48 residents, (#19).
  2. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 25, 2022
    Inspectors wroteBased on interview and record review, the facility failed to provide written Notification of Transfer or Discharge forms to the residents/representative nor the Ombudsman for 3 of 3 residents reviewed for hospitalizations out of a total sample of 48 residents, (#5, #73 and #127).
  3. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 25, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to conduct a thorough investigation after a fall with major injury for 1 of 1 resident reviewed for accidents of a total sample of 48 residents, (#40).
  4. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) April 25, 2022
    Inspectors wroteBased on observation, interview and record review, the facility failed to post the total number and actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift.

Fire safety inspections

11 fire safety citations on file: 5 on December 11, 2025, 2 on February 1, 2024, 4 on March 24, 2022.

Every fire safety citation11 citations
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · December 11, 2025 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 11, 2025 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 11, 2025 · Corrected (the home has a date of correction)
  4. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · December 11, 2025 · Corrected (the home has a date of correction)
  5. E
    Have power receptacles that are properly grounded.
    K 912 · December 11, 2025 · Corrected (the home has a date of correction)
  6. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 1, 2024 · Corrected (the home has a date of correction)
  7. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 1, 2024 · Corrected (the home has a date of correction)
  8. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · March 24, 2022 · Corrected (the home has a date of correction)
  9. F
    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
    K 111 · March 24, 2022 · Corrected (the home has a date of correction)
  10. F
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · March 24, 2022 · Corrected (the home has a date of correction)
  11. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · March 24, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 10, 2023Fine $11,629

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)3.423.823.86
Registered nurses0.810.730.69
All nursing staff on weekends3.203.493.42
Nurse aides2.08
Licensed practical nurses0.53
Nursing staff turnover (share who left in a year)23.2%41.4%45.8%
Registered nurse turnover19.0%46.0%42.9%
Administrators who left0

CMS expects 3.17 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 3.51 on weekdays and 3.20 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.57 in April to June 2025 to 3.42 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.420.813.513.20 0.0%0 of 90137
Oct to Dec 20253.530.743.633.30 0.0%0 of 92133
Jul to Sep 20253.570.833.653.38 0.0%0 of 92134
Apr to Jun 20253.570.843.683.29 0.0%0 of 91129
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%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.

MeasureThis homeFloridaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
29.28.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.72.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.11.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
32.59.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.24.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.88.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.926.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.49.112.0

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.

NameRoleTypeShareSince
Sanford5% or greater direct ownership interestOrganization01/01/2019
Chappel, ChristopherContracted managing employeeIndividual09/17/2018
Fluit, JoelW-2 managing employeeIndividual10/01/2022
Morrison, TonyW-2 managing employeeIndividual01/01/2019
Spies, DoreneW-2 managing employeeIndividual09/26/2022
Cain, JamesCorporate directorIndividual05/30/2024
Dykhouse, DanaCorporate directorIndividual05/30/2024
Engbrecht, WesleyCorporate directorIndividual05/30/2024
Gassen, WilliamCorporate directorIndividual05/30/2024
Gulsvig, NeilCorporate directorIndividual05/30/2024
Herseth Sandlin, StephanieCorporate directorIndividual05/30/2024
Lundeen, MarkCorporate directorIndividual05/30/2024
Molbert, LaurisCorporate directorIndividual05/30/2024
North, AndrewCorporate directorIndividual05/30/2024
Shulkin, DavidCorporate directorIndividual05/30/2024
Teiken, BrentCorporate directorIndividual05/30/2024
Ventling-Herrmann, MarnieCorporate directorIndividual05/30/2024
Gassen, WilliamCorporate officerIndividual05/30/2024
Middleton, AimeeCorporate officerIndividual01/27/2022
Olson, NicholasCorporate officerIndividual04/08/2024
Rogers, MichaelCorporate officerIndividual06/13/2022
Schema, NathanCorporate officerIndividual01/01/2022

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on December 11, 2025: "Ensure each resident receives an accurate assessment."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on December 11, 2025: "Ensure medication error rates are not 5 percent or greater."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on February 1, 2024: "Respond appropriately to all alleged violations."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on December 11, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the Florida average of 3.49.

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Common questions

What is The Good Samaritan Society-Kissimmee Village's Medicare star rating?
CMS rates The Good Samaritan Society-Kissimmee Village 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Good Samaritan Society-Kissimmee Village get at its last inspection?
6 health deficiencies at the standard inspection on December 11, 2025. The Florida average is 7.1.
Has The Good Samaritan Society-Kissimmee Village been fined?
Yes. CMS lists 1 fine totaling $11,629 in the last three years.
Does The Good Samaritan Society-Kissimmee 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 The Good Samaritan Society-Kissimmee Village?
CMS lists 22 owners and managers, and links the home to Good Samaritan Society. Legal business name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.

Sources

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