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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Good Samaritan Society – Atkinson is a 61-bed nonprofit nursing home in Atkinson, Nebraska, operated by a church and administered by Dale Gould. The facility accepts Medicaid, Medicare, and private pay. Medicaid accounts for 46% of new admissions, and a current average length of stay of 117 days — a profile oriented toward long-term care.
The inspection record carries significant weight in any evaluation. Over roughly nine years of state oversight, the facility has averaged 10.1 deficiencies per year — 140% above the Nebraska average of 4.2. In the most recent four-year CMS period, five health inspections produced 39 citations at a rate of 7.8 per inspection, placing it 119th out of 122 Nebraska skilled nursing facilities on that metric. A $23,000 federal civil money penalty was assessed in January 2024, and the most recent citation in April 2025 involved an abuse/neglect finding, rated moderate and subsequently corrected. No immediate jeopardy findings appear in the record.
CMS quality measures and staffing ratings are more positive. The facility holds a 5-star Quality Measures rating — 47% above the Nebraska average — driven in part by a short-stay rehospitalization rate of 4.8%, compared with the state average of 20.9%. Staffing earns 4 stars, 27% above average overall, though CNA staffing averages 2 hours and 1 minute per resident per day against a state benchmark of 2 hours and 46 minutes. The facility’s occupancy rate is 100%, ranked first among 194 Nebraska facilities, compared with the state average of 70.3%.
Amenities include on-site meals, salon services, religious programming, and transportation. The facility participates in caregiver support and home-based services programs and offers respite care. Starting price is approximately $3,761 per month.
Good Samaritan Society – Atkinson is best suited for long-term Medicaid residents in rural Holt County, with the capacity and payer mix to support extended stays
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 68th out of 117 homes in Nebraska. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 37m per day | ▼ 14% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 42m per day | ■ Avg State avg: 43m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 1m per day | ▼ 27% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 7m per day | ▼ 14% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 67% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 19m per day | ▼ 34% State avg: 29m per day · National avg: 28m per day |
Higher than the Nebraska average: 70.3%Good Samaritan Society – Atkinson is administrated by Dale Gould.
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 91 | 52 | This facility has 75% more total deficiencies than a typical Nebraska nursing home (91 vs. NE avg 52).↑ 75% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 6.1 | 3.5 | This facility has 74% more deficiencies per year than a typical Nebraska nursing home (6.1 vs. NE avg 3.5).↑ 74% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on January 13, 2022, found no deficiencies and confirmed the facility meets statutory requirements for licensure renewal. Earlier inspections showed a pattern of deficiencies related mainly to resident care issues such as failure to identify and treat changes in condition, medication management, fall prevention, and infection control, as well as safety concerns including fire safety and emergency preparedness. Complaint investigations over the years substantiated some issues with staff training, supervision, and timely reporting, but enforcement actions were limited to a probation period in 2014 related to pressure sore and weight loss prevention. Most complaints were substantiated with corrective actions taken, while some were found unsubstantiated. The trend suggests improvement over time, with the most recent reports showing compliance and no cited deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Apr 2025
Nebraska average 18.2
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 39 citations resulted from standard inspections; 9 of 39 resulted from complaint investigations; and 8 of 39 came from combined inspections (standard and complaint).
100% better than Nebraska averageNebraska average: 0.2
300% worse than Nebraska averageNebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Nebraska average
9% better than Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
46 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 19 | 0 | 19 | 3,858 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 6 | 0 | 6 | 2,323 | 92 | 100% | 9.7 |
| Medication Aide/Technician | 12 | 0 | 12 | 1,655 | 84 | 91% | 8.9 |
| Registered Nurse | 6 | 0 | 6 | 999 | 81 | 88% | 8.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 510 | 54 | 59% | 8.2 |
| Nurse Practitioner | 1 | 1 | 2 | 504 | 64 | 70% | 7.9 |
| Administrator | 2 | 0 | 2 | 489 | 58 | 63% | 8.4 |
| Dental Services Staff | 1 | 0 | 1 | 441 | 65 | 71% | 6.8 |
| Speech Language Pathologist | 1 | 0 | 1 | 410 | 64 | 70% | 6.4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 381 | 53 | 58% | 7.2 |
| Nurse Aide in Training | 1 | 0 | 1 | 106 | 15 | 16% | 7.1 |
| Qualified Social Worker | 2 | 0 | 2 | 44 | 31 | 34% | 1.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 18 | 4 | 4% | 4.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 8 | 7 | 8% | 1.1 |
| Physical Therapy Assistant | 1 | 0 | 1 | 4 | 2 | 2% | 2.1 |
| Medical Director | 0 | 1 | 1 | 4 | 2 | 2% | 2 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
31% lower than Nebraska averageNebraska average: $33K
31% fewer fines than Nebraska averageNebraska average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Nebraska averageNebraska average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 10, 2024 · $23K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 10, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.4
19% worse than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.4
In line with Nebraska averageNebraska average: 23.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
24.5%
18% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
19.8%
11% better than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.0%
8% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
9.7%
115% worse than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
1.0%
76% better than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.9%
72% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
12.2%
125% worse than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.9%
79% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.3%
7% worse than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
2.66
48% worse than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.42
24% worse than Nebraska averageNebraska average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.3%
11% better than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
4.8%
77% better than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.5%
18% better than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Nebraska averageNebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
31.8%
41% worse than Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
35.1%
31% worse than Nebraska averageNebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
38% of new residents, usually for short-term rehab.
16% of new residents, often for short stays.
46% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
32Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Good Samaritan Society – Atkinson based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #84 / 120Payroll — State benchmarkedThis home is ranked 84th out of 120 homes in Nebraska. Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Atkinson's city center to Good Samaritan Society – Atkinson's address, calculated via Google Maps.
Add your location
Good Samaritan Society – Atkinson is located in ATKINSON, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
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| Good Samaritan Society – Atkinson |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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The legal owner and operator of Good Samaritan Society – Atkinson is Good Samaritan Society - Atkinson.
Good Samaritan Society – Atkinson has a walk score of 41. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Good Samaritan Society – Atkinson's occupancy is 100%.
Yes — see the floorplan options available at Good Samaritan Society – Atkinson on this page.
Dale Gould is the administrator of Good Samaritan Society – Atkinson.
Good Samaritan Society – Atkinson has 61 beds.
Yes — there are 3 photos of Good Samaritan Society – Atkinson in the photo gallery on this page.
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