Good Samaritan Society-prescott Village - Prescott Nursing Home
General Information
UPDATEFederal Provider Number
35158
Provider Name
GOOD SAMARITAN SOCIETY-PRESCOTT VILLAGE
Provider Address
1030 SCOTT DRIVE
PRESCOTT, AZ 86301
PRESCOTT, AZ 86301
Provider Phone Number
9287782450
Provider SSA County
120
Provider County Name
Yavapai
Ownership Type
Non profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
57
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
1988-05-19
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.28158
Reported LPN Staffing Hours per Resident per Day
0.23070
Reported RN Staffing Hours per Resident per Day
1.34737
Reported Licensed Staffing Hours per Resident per Day
1.57807
Reported Total Nurse Staffing Hours per Resident per Day
3.85965
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.48172
Expected LPN Staffing Hours per Resident per Day
0.62440
Expected RN Staffing Hours per Resident per Day
0.90161
Expected Total Nurse Staffing Hours per Resident per Day
4.00773
Adjusted CNA Staffing Hours per Resident per Day
2.25582
Adjusted LPN Staffing Hours per Resident per Day
0.30666
Adjusted RN Staffing Hours per Resident per Day
1.11662
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88197
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-08
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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
Las Fuentes Care Center
1045 Scott Drive |
PRESCOTT AZ 86301 | 0.1 mile away
Prescott Nursing And Rehabilitation Center
864 Dougherty Street |
PRESCOTT AZ 86305 | 0.9 mile away
Mountain View Manor
1045 Sandretto Drive |
PRESCOTT AZ 86305 | 2.9 miles away
Good Samaritan Society-prescott Valley
3380 North Windsong Drive |
PRESCOTT VALLEY AZ 86314 | 8.7 miles away
Haven Of Cottonwood, Llc
197 South Willard Street |
COTTONWOOD AZ 86326 | 28.2 miles away
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