North Dakota Nursing Homes >> Park River Nursing Homes >> Good Samaritan Society - Park River

Good Samaritan Society - Park River - Park River Nursing Home

General Information

UPDATE
Federal Provider Number
355089
Provider Name
GOOD SAMARITAN SOCIETY - PARK RIVER
Provider Address
301 COUNTY RD 12B
PARK RIVER, ND 58270
Provider Phone Number
7012847115
Provider SSA County
490
Provider County Name
Walsh
Ownership Type
Non profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
43
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
1984-01-01
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
3
QM Rating Footnote
Staffing Rating
5
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
2.45349
Reported LPN Staffing Hours per Resident per Day
0.51744
Reported RN Staffing Hours per Resident per Day
0.93837
Reported Licensed Staffing Hours per Resident per Day
1.45581
Reported Total Nurse Staffing Hours per Resident per Day
3.90930
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01628
Expected CNA Staffing Hours per Resident per Day
2.20517
Expected LPN Staffing Hours per Resident per Day
0.54738
Expected RN Staffing Hours per Resident per Day
0.74638
Expected Total Nurse Staffing Hours per Resident per Day
3.49893
Adjusted CNA Staffing Hours per Resident per Day
2.73001
Adjusted LPN Staffing Hours per Resident per Day
0.78460
Adjusted RN Staffing Hours per Resident per Day
0.93940
Adjusted Total Nurse Staffing Hours per Resident per Day
4.50367
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
60
Cycle 1 Standard Survey Health Date
2014-07-23
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
30
Cycle 1 Total Health Score
90
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-07-18
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
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
61.66700
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

Lutheran Sunset Home

333 Eastern Ave | GRAFTON ND 58237 | 17.6 miles away

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