Nursing HomeMedicaid Investigative

Good Samaritan Society - Atkinson

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

409 Neely Street, Atkinson, NE 68713|61 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

5.0/5

based on 1 Google review

(402) 925-2875 Directions Website

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6/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (1/5 stars)
Low staffing rating (1/5 stars)
Above-median deficiencies (10 vs median 5)
High staff turnover (78%)
High RN turnover (62%)

Bottom 25% in NE · Below recommended RN staffing · Very high staff turnover · Worst in GOOD SAMARITAN SOCIETY chain · $22,653 in fines

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 92% of the national benchmark, which can affect medication management and response times. The facility has 14 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.69hrs

92%

Registered nurses for medical care

Total Nursing

3.40hrs

83%

All nurses + aides combined

Staff Turnover

70%

Lower is better (< 30% = good)

RN Turnover

60%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility32.6%

Worse than Avg

Here

32.6%

14.4%

19.5%

Holt

19.4%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility36.1%

Worse than Avg

Here

36.1%

19.4%

26.3%

Holt

20.8%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility32.3%

Worse than Avg

Here

32.3%

19.5%

19.3%

Holt

24.4%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility10.0%

Better than Avg

Here

10.0%

15.5%

20.8%

Holt

12.6%

😔

Residents with depression symptoms

↓ Lower is better

This Facility1.8%

Better than Avg

Here

1.8%

12.1%

4.3%

Holt

3.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better

This Facility11.9%

Better than Avg

Here

11.9%

15.3%

19.1%

Holt

22.0%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility89.7%

Better than Avg

Here

89.7%

81.8%

80.5%

Holt

73.2%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

2.3%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies

1penalties

Well above state avg (6.7)

19 complaint-triggered

$22,653 in fines

This facility has concerning patterns of recurring issues, with families filing multiple complaints that triggered federal inspections. The most persistent problems involve nursing staffing shortages, infection control failures, and nutrition/hydration concerns, with staffing deficiencies appearing in both 2024 and 2025. Additional recurring issues include medication management problems and safety hazards. While all violations show correction dates, the repeated nature of core care problems suggests ongoing operational challenges that families should carefully consider.

Feb 10, 2026Routine12 findings

0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0552Potential for harm · PatternCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Feb 10, 2026Complaint3 findings

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Nov 20, 2025Complaint1 finding

0580Potential for harm · PatternCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Apr 22, 2025Complaint2 findings

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jan 15, 2025Routine19 findings

0004Potential for harm · WidespreadCorrected