Nebraska Nursing Homes >> Ravenna Nursing Homes >> Good Samaritan Society - Ravenna

Good Samaritan Society - Ravenna - Ravenna Nursing Home

General Information

UPDATE
Federal Provider Number
285202
Provider Name
GOOD SAMARITAN SOCIETY - RAVENNA
Provider Address
411 WEST GENOA
RAVENNA, NE 68869
Provider Phone Number
3084523230
Provider SSA County
90
Provider County Name
Buffalo
Ownership Type
Non profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
37
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
1996-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.40541
Reported LPN Staffing Hours per Resident per Day
0.36216
Reported RN Staffing Hours per Resident per Day
1.38784
Reported Licensed Staffing Hours per Resident per Day
1.75000
Reported Total Nurse Staffing Hours per Resident per Day
4.15541
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09054
Expected CNA Staffing Hours per Resident per Day
2.58712
Expected LPN Staffing Hours per Resident per Day
0.64443
Expected RN Staffing Hours per Resident per Day
0.98793
Expected Total Nurse Staffing Hours per Resident per Day
4.21948
Adjusted CNA Staffing Hours per Resident per Day
2.28136
Adjusted LPN Staffing Hours per Resident per Day
0.46645
Adjusted RN Staffing Hours per Resident per Day
1.04966
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96970
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-01-29
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
36
Cycle 3 Standard Health Survey Date
2011-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
27.33300
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

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