Good Samaritan Society - Pipestone - Pipestone Nursing Home

General Information

UPDATE
Federal Provider Number
245591
Provider Name
GOOD SAMARITAN SOCIETY - PIPESTONE
Provider Address
1311 NORTH HIAWATHA
PIPESTONE, MN 56164
Provider Phone Number
5078255428
Provider SSA County
580
Provider County Name
Pipestone
Ownership Type
Non profit - Church related
Number of Certified Beds
94
Number of Residents in Certified Beds
90
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
1991-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.61333
Reported LPN Staffing Hours per Resident per Day
0.41611
Reported RN Staffing Hours per Resident per Day
0.73111
Reported Licensed Staffing Hours per Resident per Day
1.14722
Reported Total Nurse Staffing Hours per Resident per Day
3.76055
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01111
Expected CNA Staffing Hours per Resident per Day
2.49814
Expected LPN Staffing Hours per Resident per Day
0.63473
Expected RN Staffing Hours per Resident per Day
0.94514
Expected Total Nurse Staffing Hours per Resident per Day
4.07801
Adjusted CNA Staffing Hours per Resident per Day
2.56684
Adjusted LPN Staffing Hours per Resident per Day
0.54412
Adjusted RN Staffing Hours per Resident per Day
0.57799
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71710
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-04
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
23.33300
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

Edgebrook Care Center

505 Trosky Road West | EDGERTON MN 56128 | 13 miles away

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