Minnesota Nursing Homes >> Arlington Nursing Homes >> Good Samaritan Society - Arlington

Good Samaritan Society - Arlington - Arlington Nursing Home

General Information

UPDATE
Federal Provider Number
245598
Provider Name
GOOD SAMARITAN SOCIETY - ARLINGTON
Provider Address
411 SEVENTH AVENUE NORTHWEST
ARLINGTON, MN 55307
Provider Phone Number
5079642251
Provider SSA County
710
Provider County Name
Sibley
Ownership Type
Non profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
27
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
1991-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.16481
Reported LPN Staffing Hours per Resident per Day
0.69815
Reported RN Staffing Hours per Resident per Day
0.93704
Reported Licensed Staffing Hours per Resident per Day
1.63519
Reported Total Nurse Staffing Hours per Resident per Day
3.80000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01111
Expected CNA Staffing Hours per Resident per Day
2.65704
Expected LPN Staffing Hours per Resident per Day
0.62409
Expected RN Staffing Hours per Resident per Day
0.95988
Expected Total Nurse Staffing Hours per Resident per Day
4.24101
Adjusted CNA Staffing Hours per Resident per Day
1.99914
Adjusted LPN Staffing Hours per Resident per Day
0.92850
Adjusted RN Staffing Hours per Resident per Day
0.72942
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61174
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-23
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
16
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
16
Total Weighted Health Survey Score
20.00000
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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Good Samaritan Society - Winthrop

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