Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Good Samaritan Society - Atkinson

Atkinson, NE · 61 certified beds · Last Life Safety survey February 10, 2026

CMS Certification Number 285177 · first certified February 1996

Ownership

Operated by GOOD SAMARITAN SOCIETY · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within NE

25 citations — more than 80% of the 180 certified nursing homes in NE. Compared within NE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was February 2026. Facilities in NE are typically surveyed 12–14 months after the last one (median 13), measured over 271 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

10 of the 25 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 25 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-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.

How that compares

Citations on file over three years

Compared with the median facility in NE, and nationally. Surveyors differ markedly between states, so the NE figure is the meaningful one.

This facility25NE median15National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in NE15
Median facility nationally11

Survey history

Citations at each Life Safety survey
72024-01162025-0122026-02
Citations at each Life Safety survey
Survey dateCitations
January 10, 20247
January 15, 202516
February 10, 20262

Most-cited tags

Most-cited tags at this facility
K-03533K-09222K-02932K-02221E-00351K-09141E-00411K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-02-10
K-0922Meet requirements for the use and maintenance of medical gas equipment.22025-01-15
K-0293Have properly located and lighted "Exit" signs.22025-01-15
K-0222Add 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.12026-02-10
E-0035Provide family notifications of emergency plan.12025-01-15
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12025-01-15
E-0041Implement emergency and standby power systems.12025-01-15
K-0363Install corridor and hallway doors that block smoke.12024-01-10

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Smoke Deficiencies 5
  • Egress Deficiencies 4
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies6
Smoke Deficiencies5
Egress Deficiencies4

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 10, 2026 — 2 citations

Citations issued on February 10, 2026
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (February 16, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 16, 2026)

January 15, 2025 — 16 citations

Citations issued on January 15, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (February 27, 2025)
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (February 27, 2025)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (February 27, 2025)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (February 27, 2025)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (February 27, 2025)
E-0029Develop a communication plan.Deficient, Provider has date of correction (February 27, 2025)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (February 27, 2025)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (February 27, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (February 27, 2025)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (February 27, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (February 27, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 27, 2025)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (February 27, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 27, 2025)
K-0922Meet requirements for the use and maintenance of medical gas equipment.Deficient, Provider has date of correction (February 27, 2025)
K-0925Ensure that sources of ignition are removed from patients receiving respiratory therapy.Deficient, Provider has date of correction (February 27, 2025)

January 10, 2024 — 7 citations

Citations issued on January 10, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (February 6, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (February 6, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 6, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 6, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 6, 2024)
K-0922Meet requirements for the use and maintenance of medical gas equipment.Deficient, Provider has date of correction (February 6, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 6, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.