Idaho Nursing Homes >> Silverton Nursing Homes >> Good Samaritan Society - Silver Wood Village

Good Samaritan Society - Silver Wood Village - Silverton Nursing Home

General Information

UPDATE
Federal Provider Number
135058
Provider Name
GOOD SAMARITAN SOCIETY - SILVER WOOD VILLAGE
Provider Address
405 WEST SEVENTH STREET
SILVERTON, ID 83867
Provider Phone Number
2085561147
Provider SSA County
390
Provider County Name
Shoshone
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
35
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
1974-10-01
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
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
2.25714
Reported LPN Staffing Hours per Resident per Day
0.08143
Reported RN Staffing Hours per Resident per Day
1.28429
Reported Licensed Staffing Hours per Resident per Day
1.36571
Reported Total Nurse Staffing Hours per Resident per Day
3.62286
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.29351
Expected LPN Staffing Hours per Resident per Day
0.54844
Expected RN Staffing Hours per Resident per Day
0.79348
Expected Total Nurse Staffing Hours per Resident per Day
3.63543
Adjusted CNA Staffing Hours per Resident per Day
2.41479
Adjusted LPN Staffing Hours per Resident per Day
0.12323
Adjusted RN Staffing Hours per Resident per Day
1.20938
Adjusted Total Nurse Staffing Hours per Resident per Day
4.01696
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
40
Cycle 1 Standard Survey Health Date
2014-09-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-07-19
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
24
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
44.00000
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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