Good Samaritan Home Health Center And Residential - Evansville Nursing Home
General Information
UPDATEFederal Provider Number
155716
Provider Name
GOOD SAMARITAN HOME HEALTH CENTER AND RESIDENTIAL
Provider Address
601 N BOEKE RD
EVANSVILLE, IN 47711
EVANSVILLE, IN 47711
Provider Phone Number
8124764912
Provider SSA County
810
Provider County Name
Vanderburgh
Ownership Type
Non profit - Church related
Number of Certified Beds
212
Number of Residents in Certified Beds
174
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENRY COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2003-02-24
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.47069
Reported LPN Staffing Hours per Resident per Day
0.95661
Reported RN Staffing Hours per Resident per Day
0.76466
Reported Licensed Staffing Hours per Resident per Day
1.72126
Reported Total Nurse Staffing Hours per Resident per Day
4.19196
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05776
Expected CNA Staffing Hours per Resident per Day
2.42388
Expected LPN Staffing Hours per Resident per Day
0.64720
Expected RN Staffing Hours per Resident per Day
1.06357
Expected Total Nurse Staffing Hours per Resident per Day
4.13466
Adjusted CNA Staffing Hours per Resident per Day
2.50108
Adjusted LPN Staffing Hours per Resident per Day
1.22680
Adjusted RN Staffing Hours per Resident per Day
0.53720
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08676
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-05-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
University Nursing And Rehabilitation Center
1236 Lincoln Ave |
EVANSVILLE IN 47714 | 1.5 miles away
Evansville Protestant Home Inc
3701 Washington Ave |
EVANSVILLE IN 47714 | 1.7 miles away
River Pointe Health Campus
3001 Galaxy Dr |
EVANSVILLE IN 47715 | 2.2 miles away
Golden Living Center-brentwood
30 E Chandler Ave |
EVANSVILLE IN 47713 | 2.8 miles away
Columbia Healthcare Center
621 W Columbia St |
EVANSVILLE IN 47710 | 3 miles away
Braun's Nursing Home
909 First Ave |
EVANSVILLE IN 47710 | 3.1 miles away
Golden Living Center-woodbridge
816 N First Ave |
EVANSVILLE IN 47710 | 3.1 miles away
North Park Nursing Center
650 Fairway Dr |
EVANSVILLE IN 47710 | 3.4 miles away
Heritage Center
1201 W Buena Vista Rd |
EVANSVILLE IN 47710 | 4 miles away
Parkview Care Center
2819 N St Joseph Ave |
EVANSVILLE IN 47720 | 4.6 miles away
Bethel Manor
6015 Kratzville Rd |
EVANSVILLE IN 47710 | 4.9 miles away
Pine Haven Health And Rehabilitation Center
3400 Stocker Dr |
EVANSVILLE IN 47720 | 5.4 miles away
Westpark Rehabilitation Center
25 S Boehne Camp Rd |
EVANSVILLE IN 47712 | 7.1 miles away
West River Health Campus
714 S Eickhoff Rd |
EVANSVILLE IN 47712 | 8.6 miles away
Terrace At Solarbron The
1701 Mcdowell Rd |
EVANSVILLE IN 47712 | 9.4 miles away
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