Nebraska Nursing Homes >> Kearney Nursing Homes >> Chi Health Good Samaritan

Chi Health Good Samaritan - Kearney Nursing Home

General Information

UPDATE
Federal Provider Number
285084
Provider Name
CHI HEALTH GOOD SAMARITAN
Provider Address
P O BOX 1990, 10 EAST 31ST STREET
KEARNEY, NE 68848
Provider Phone Number
3088657169
Provider SSA County
90
Provider County Name
Buffalo
Ownership Type
Non profit - Corporation
Number of Certified Beds
22
Number of Residents in Certified Beds
17
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
GOOD SAMARITAN HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1988-12-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
2
QM Rating Footnote
Staffing Rating
5
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
2.59118
Reported LPN Staffing Hours per Resident per Day
0.20588
Reported RN Staffing Hours per Resident per Day
5.40294
Reported Licensed Staffing Hours per Resident per Day
5.60882
Reported Total Nurse Staffing Hours per Resident per Day
8.20000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.37941
Expected CNA Staffing Hours per Resident per Day
2.66635
Expected LPN Staffing Hours per Resident per Day
1.10429
Expected RN Staffing Hours per Resident per Day
2.05311
Expected Total Nurse Staffing Hours per Resident per Day
5.82376
Adjusted CNA Staffing Hours per Resident per Day
2.38452
Adjusted LPN Staffing Hours per Resident per Day
0.15474
Adjusted RN Staffing Hours per Resident per Day
1.96632
Adjusted Total Nurse Staffing Hours per Resident per Day
5.67561
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
28
Cycle 1 Standard Survey Health Date
2014-06-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-04-11
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
25.33300
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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