Good Samaritan Society - Mary Jane Brown - Luverne Nursing Home

General Information

UPDATE
Federal Provider Number
245568
Provider Name
GOOD SAMARITAN SOCIETY - MARY JANE BROWN
Provider Address
110 SOUTH WALNUT AVENUE
LUVERNE, MN 56156
Provider Phone Number
5072832375
Provider SSA County
660
Provider County Name
Rock
Ownership Type
Non profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
49
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
1991-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.96020
Reported LPN Staffing Hours per Resident per Day
0.43878
Reported RN Staffing Hours per Resident per Day
0.63367
Reported Licensed Staffing Hours per Resident per Day
1.07245
Reported Total Nurse Staffing Hours per Resident per Day
3.03265
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02755
Expected CNA Staffing Hours per Resident per Day
2.25985
Expected LPN Staffing Hours per Resident per Day
0.54863
Expected RN Staffing Hours per Resident per Day
0.80691
Expected Total Nurse Staffing Hours per Resident per Day
3.61540
Adjusted CNA Staffing Hours per Resident per Day
2.12834
Adjusted LPN Staffing Hours per Resident per Day
0.66381
Adjusted RN Staffing Hours per Resident per Day
0.58678
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38118
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
34
Cycle 1 Total Health Score
102
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-09-26
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
64.33300
Number of Facility Reported Incidents
0
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

Nursiong Homes Nearby

Tuff Memorial Home

505 East 4th Street | HILLS MN 56138 | 11 miles away

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