Good Samaritan Society - Auburn - Auburn Nursing Home

General Information

UPDATE
Federal Provider Number
285112
Provider Name
GOOD SAMARITAN SOCIETY - AUBURN
Provider Address
1322 U STREET
AUBURN, NE 68305
Provider Phone Number
4022744954
Provider SSA County
630
Provider County Name
Nemaha
Ownership Type
Non profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
71
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
1991-12-01
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
1
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
2.12183
Reported LPN Staffing Hours per Resident per Day
0.72958
Reported RN Staffing Hours per Resident per Day
0.46761
Reported Licensed Staffing Hours per Resident per Day
1.19718
Reported Total Nurse Staffing Hours per Resident per Day
3.31902
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02535
Expected CNA Staffing Hours per Resident per Day
2.22061
Expected LPN Staffing Hours per Resident per Day
0.59269
Expected RN Staffing Hours per Resident per Day
0.91607
Expected Total Nurse Staffing Hours per Resident per Day
3.72937
Adjusted CNA Staffing Hours per Resident per Day
2.34455
Adjusted LPN Staffing Hours per Resident per Day
1.02170
Adjusted RN Staffing Hours per Resident per Day
0.38141
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58737
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-01-07
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-09-19
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
5
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
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