Good Samaritan Society - Arapahoe - Arapahoe Nursing Home

General Information

UPDATE
Federal Provider Number
285175
Provider Name
GOOD SAMARITAN SOCIETY - ARAPAHOE
Provider Address
P O BOX 448, 601 MAIN STREET
ARAPAHOE, NE 68922
Provider Phone Number
3089625230
Provider SSA County
320
Provider County Name
Furnas
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
29
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
1995-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.20000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
1.27759
Reported Licensed Staffing Hours per Resident per Day
1.27759
Reported Total Nurse Staffing Hours per Resident per Day
3.47759
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01207
Expected CNA Staffing Hours per Resident per Day
2.41387
Expected LPN Staffing Hours per Resident per Day
0.57031
Expected RN Staffing Hours per Resident per Day
0.78970
Expected Total Nurse Staffing Hours per Resident per Day
3.77388
Adjusted CNA Staffing Hours per Resident per Day
2.23630
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.20883
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71443
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-04-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-02-06
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2011-12-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
23.33300
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

Nursiong Homes Nearby

Beaver City Manor

P O Box 70, 905 Floyd Street | BEAVER CITY NE 68926 | 12.3 miles away

Cambridge Manor

P O Box 488, West Hwy 6 & 34 | CAMBRIDGE NE 69022 | 14.1 miles away

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