Good Samaritan Society - Bismarck - Bismarck Nursing Home
General Information
UPDATEFederal Provider Number
355125
Provider Name
GOOD SAMARITAN SOCIETY - BISMARCK
Provider Address
301 LORRAIN DRIVE
BISMARCK, ND 58503
BISMARCK, ND 58503
Provider Phone Number
7012551084
Provider SSA County
70
Provider County Name
Burleigh
Ownership Type
Non profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
47
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
2010-06-09
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.98511
Reported LPN Staffing Hours per Resident per Day
0.67128
Reported RN Staffing Hours per Resident per Day
1.16915
Reported Licensed Staffing Hours per Resident per Day
1.84043
Reported Total Nurse Staffing Hours per Resident per Day
4.82554
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11383
Expected CNA Staffing Hours per Resident per Day
2.27904
Expected LPN Staffing Hours per Resident per Day
0.56549
Expected RN Staffing Hours per Resident per Day
0.84607
Expected Total Nurse Staffing Hours per Resident per Day
3.69060
Adjusted CNA Staffing Hours per Resident per Day
3.21389
Adjusted LPN Staffing Hours per Resident per Day
0.98527
Adjusted RN Staffing Hours per Resident per Day
1.03252
Adjusted Total Nurse Staffing Hours per Resident per Day
5.27049
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-03-05
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
36
Cycle 3 Standard Health Survey Date
2013-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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
St Gabriel's Community
4580 Coleman Street |
BISMARCK ND 58503 | 0.5 mile away
Baptist Health Care Center
3400 Nebraska Drive |
BISMARCK ND 58503 | 2.2 miles away
Missouri Slope Luth Care Ctr
2425 Hillview Ave |
BISMARCK ND 58501 | 2.8 miles away
St Alexius Medical Ctr Tcu
900 E Broadway |
BISMARCK ND 58506 | 3 miles away
Sanford Health St Vincent's Living Center
1021 N 26th St |
BISMARCK ND 58501 | 3 miles away
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