South Dakota Nursing Homes >> Clear Lake Nursing Homes >> Good Samaritan Society Deuel County

Good Samaritan Society Deuel County - Clear Lake Nursing Home

General Information

UPDATE
Federal Provider Number
435117
Provider Name
GOOD SAMARITAN SOCIETY DEUEL COUNTY
Provider Address
913 COLONEL PETE STREET
CLEAR LAKE, SD 57226
Provider Phone Number
6058742159
Provider SSA County
190
Provider County Name
Deuel
Ownership Type
Non profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid services
2001-06-01
Continuing Care Retirement Community
N
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.44250
Reported LPN Staffing Hours per Resident per Day
0.36250
Reported RN Staffing Hours per Resident per Day
0.89375
Reported Licensed Staffing Hours per Resident per Day
1.25625
Reported Total Nurse Staffing Hours per Resident per Day
3.69875
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02500
Expected CNA Staffing Hours per Resident per Day
2.39434
Expected LPN Staffing Hours per Resident per Day
0.59027
Expected RN Staffing Hours per Resident per Day
0.83885
Expected Total Nurse Staffing Hours per Resident per Day
3.82346
Adjusted CNA Staffing Hours per Resident per Day
2.50305
Adjusted LPN Staffing Hours per Resident per Day
0.50972
Adjusted RN Staffing Hours per Resident per Day
0.79610
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89942
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
20
Cycle 1 Standard Survey Health Date
2014-04-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-02-21
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
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
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