Good Samaritan Society - Atkinson - Atkinson Nursing Home

General Information

UPDATE
Federal Provider Number
285177
Provider Name
GOOD SAMARITAN SOCIETY - ATKINSON
Provider Address
409 NEELY STREET
ATKINSON, NE 68713
Provider Phone Number
4029252875
Provider SSA County
440
Provider County Name
Holt
Ownership Type
Non profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
45
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
1996-02-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.17444
Reported LPN Staffing Hours per Resident per Day
0.68667
Reported RN Staffing Hours per Resident per Day
1.00556
Reported Licensed Staffing Hours per Resident per Day
1.69222
Reported Total Nurse Staffing Hours per Resident per Day
3.86667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01222
Expected CNA Staffing Hours per Resident per Day
2.43675
Expected LPN Staffing Hours per Resident per Day
0.59491
Expected RN Staffing Hours per Resident per Day
0.84320
Expected Total Nurse Staffing Hours per Resident per Day
3.87486
Adjusted CNA Staffing Hours per Resident per Day
2.18957
Adjusted LPN Staffing Hours per Resident per Day
0.95802
Adjusted RN Staffing Hours per Resident per Day
0.89108
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02238
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
140
Cycle 1 Standard Survey Health Date
2014-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
140
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2012-12-17
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-10-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
97.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
3
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

Parkside Manor

P O Box 350, 507 North Main Street | STUART NE 68780 | 10 miles away

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