Good Samaritan Society - Atwood - Atwood Nursing Home
General Information
UPDATEFederal Provider Number
175366
Provider Name
GOOD SAMARITAN SOCIETY - ATWOOD
Provider Address
650 LAKE RD #216
ATWOOD, KS 67730
ATWOOD, KS 67730
Provider Phone Number
7856269015
Provider SSA County
760
Provider County Name
Rawlins
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
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
1996-04-01
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.25000
Reported LPN Staffing Hours per Resident per Day
0.73333
Reported RN Staffing Hours per Resident per Day
0.52037
Reported Licensed Staffing Hours per Resident per Day
1.25370
Reported Total Nurse Staffing Hours per Resident per Day
3.50370
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02407
Expected CNA Staffing Hours per Resident per Day
2.21814
Expected LPN Staffing Hours per Resident per Day
0.66564
Expected RN Staffing Hours per Resident per Day
0.96867
Expected Total Nurse Staffing Hours per Resident per Day
3.85245
Adjusted CNA Staffing Hours per Resident per Day
2.48894
Adjusted LPN Staffing Hours per Resident per Day
0.91440
Adjusted RN Staffing Hours per Resident per Day
0.40140
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66599
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2012-12-12
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
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2011-09-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
1
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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