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

Good Samaritan Society - Auburn

Auburn, NE · 102 certified beds · Last Life Safety survey February 11, 2026

CMS Certification Number 285112 · first certified December 1991

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
5
Tags cited more than once
Across separate surveys
11
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 4 citations; the earlier surveys in the window averaged 10.5. 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

2 inspection-and-testing tags have 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

2 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)

3 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-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
102023-08112024-1042026-02
Citations at each Life Safety survey
Survey dateCitations
August 2, 202310
October 3, 202411
February 11, 20264

Most-cited tags

Most-cited tags at this facility
K-09182K-03532K-03212E-00412K-05002K-02911K-02221K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-10-03
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-10-03
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22024-10-03
E-0041Implement emergency and standby power systems.22024-10-03
K-0500Meet other general requirements that are deficient.22026-02-11
K-0291Install emergency lighting that can last at least 1 1/2 hours.12023-08-02
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.12026-02-11
K-0363Install corridor and hallway doors that block smoke.12023-08-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Services Deficiencies 3
  • Egress Deficiencies 3
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies6
Services Deficiencies3
Egress Deficiencies3
Miscellaneous Deficiencies3
Emergency Preparedness Deficiencies2

Every citation on file

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

February 11, 2026 — 4 citations

Citations issued on February 11, 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 (March 13, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 13, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 13, 2026)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (March 13, 2026)

October 3, 2024 — 11 citations

Citations issued on October 3, 2024
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (November 1, 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 (November 1, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 1, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (November 1, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (November 1, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 1, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 1, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 1, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 1, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (November 1, 2024)
K-0922Meet requirements for the use and maintenance of medical gas equipment.Deficient, Provider has date of correction (November 1, 2024)

August 2, 2023 — 10 citations

Citations issued on August 2, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (August 31, 2023)
K-0200Meet other general requirements.Deficient, Provider has date of correction (August 31, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 31, 2023)
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 (August 31, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 31, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 31, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 31, 2023)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (August 31, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 31, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (August 31, 2023)

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