Good Samaritan Society - Ambassador - New Hope Nursing Home

General Information

UPDATE
Federal Provider Number
245149
Provider Name
GOOD SAMARITAN SOCIETY - AMBASSADOR
Provider Address
8100 MEDICINE LAKE ROAD
NEW HOPE, MN 55427
Provider Phone Number
7635444171
Provider SSA County
260
Provider County Name
Hennepin
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
83
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
1968-02-26
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
2
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
2.29157
Reported LPN Staffing Hours per Resident per Day
0.77530
Reported RN Staffing Hours per Resident per Day
1.37229
Reported Licensed Staffing Hours per Resident per Day
2.14759
Reported Total Nurse Staffing Hours per Resident per Day
4.43916
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15301
Expected CNA Staffing Hours per Resident per Day
2.37547
Expected LPN Staffing Hours per Resident per Day
0.63187
Expected RN Staffing Hours per Resident per Day
1.15283
Expected Total Nurse Staffing Hours per Resident per Day
4.16017
Adjusted CNA Staffing Hours per Resident per Day
2.36704
Adjusted LPN Staffing Hours per Resident per Day
1.01840
Adjusted RN Staffing Hours per Resident per Day
0.88944
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30122
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
2015-01-08
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-06
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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

Colonial Acres Health Care Ctr

5825 St Croix Avenue | GOLDEN VALLEY MN 55422 | 1.6 miles away

Golden Valley Rehabilitation And Care Center

7505 Country Club Drive | GOLDEN VALLEY MN 55427 | 1.7 miles away

Crystal Care Center

3245 Vera Cruz Avenue North | CRYSTAL MN 55422 | 1.7 miles away

Mission Nursing Home

3401 East Medicine Lake Boulevard | PLYMOUTH MN 55441 | 2.1 miles away

Robbinsdale Rehab & Care Center

3130 Grimes Avenue North | ROBBINSDALE MN 55422 | 2.6 miles away

Courage Kenny Rehabilitation Institute's Trp

3915 Golden Valley Road | GOLDEN VALLEY MN 55422 | 2.7 miles away

Good Samaritan Society - Specialty Care Community

3815 West Broadway | ROBBINSDALE MN 55422 | 2.7 miles away

North Ridge Health And Rehab

5430 Boone Avenue North | NEW HOPE MN 55428 | 3.1 miles away

Interlude

2775 Campus Drive North | PLYMOUTH MN 55441 | 3.2 miles away

St Therese Home

8000 Bass Lake Road | NEW HOPE MN 55428 | 3.4 miles away

The Villa At Bryn Mawr

275 Penn Avenue North | MINNEAPOLIS MN 55405 | 4.1 miles away

St Olaf Residence

2912 Fremont Avenue North | MINNEAPOLIS MN 55411 | 4.3 miles away

Jones Harrison Residence

3700 Cedar Lake Avenue | MINNEAPOLIS MN 55416 | 4.6 miles away

Maranatha Care Center

5409 69th Avenue North | BROOKLYN CENTER MN 55429 | 5.2 miles away

Golden Livingcenter - Hillcrest Of Wayzata

15409 Wayzata Boulevard | WAYZATA MN 55391 | 5.2 miles away

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