Good Samaritan Society-peoria Good Shepherd - Peoria Nursing Home
General Information
UPDATEFederal Provider Number
35183
Provider Name
GOOD SAMARITAN SOCIETY-PEORIA GOOD SHEPHERD
Provider Address
10323 WEST OLIVE AVENUE
PEORIA, AZ 85345
PEORIA, AZ 85345
Provider Phone Number
6238750100
Provider SSA County
60
Provider County Name
Maricopa
Ownership Type
Non profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
104
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
1988-08-05
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.57548
Reported LPN Staffing Hours per Resident per Day
1.30144
Reported RN Staffing Hours per Resident per Day
0.62356
Reported Licensed Staffing Hours per Resident per Day
1.92500
Reported Total Nurse Staffing Hours per Resident per Day
4.50048
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04808
Expected CNA Staffing Hours per Resident per Day
2.55981
Expected LPN Staffing Hours per Resident per Day
0.59609
Expected RN Staffing Hours per Resident per Day
0.83226
Expected Total Nurse Staffing Hours per Resident per Day
3.98816
Adjusted CNA Staffing Hours per Resident per Day
2.46872
Adjusted LPN Staffing Hours per Resident per Day
1.81214
Adjusted RN Staffing Hours per Resident per Day
0.55983
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54871
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
44
Cycle 2 Standard Health Survey Date
2012-12-21
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-09-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Immanuel Campus Of Care
11301 North 99th Avenue |
PEORIA AZ 85345 | 1.6 miles away
Lifestream At Cook Health Care
11527 West Peoria Ave |
YOUNGTOWN AZ 85363 | 1.7 miles away
Sunview Health & Rehabilitation Center
12207 North 113th Avenue |
YOUNGTOWN AZ 85363 | 2.5 miles away
Banner Boswell Rehabilitation Center
10601 West Santa Fe Drive |
SUN CITY AZ 85351 | 2.7 miles away
Plaza Del Rio Care Center
13215 North 94th Drive |
PEORIA AZ 85381 | 3 miles away
Acuity Specialty Hospital Of Arizona At Sun City
13818 North Thunderbird Boulevard |
SUN CITY AZ 85351 | 3.2 miles away
Freedom Plaza Care Center
13714 North Plaza Del Rio Blvd |
PEORIA AZ 85381 | 3.3 miles away
Forum At Desert Harbor, The
13840 North Desert Harbor Drive |
PEORIA AZ 85381 | 4 miles away
Providence Place At Glencroft
8641 North 67th Ave |
GLENDALE AZ 85302 | 4.6 miles away
The Gardens Of Sun City
17225 North Boswell Boulevard |
SUN CITY AZ 85373 | 5.3 miles away
Lifestream At Sun Ridge
12215 West Bell Road |
SURPRISE AZ 85374 | 5.6 miles away
Sierra Winds
17300 North 88th Ave |
PEORIA AZ 85382 | 5.7 miles away
Sun Health La Loma Care Center
14260 South Denny Boulevard |
LITCHFIELD PARK AZ 85340 | 5.9 miles away
Sun City Health And Rehabilitation Center
9940 West Union Hills Drive |
SUN CITY AZ 85373 | 6.1 miles away
Life Care Center Of North Glendale
13620 North 55th Avenue |
GLENDALE AZ 85304 | 6.7 miles away
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