Good Samaritan Society Canistota - Canistota Nursing Home

General Information

UPDATE
Federal Provider Number
435087
Provider Name
GOOD SAMARITAN SOCIETY CANISTOTA
Provider Address
700 WEST MAIN ST
CANISTOTA, SD 57012
Provider Phone Number
6052963442
Provider SSA County
430
Provider County Name
Mc Cook
Ownership Type
Non profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
49
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
1995-07-01
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
1.97347
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.98061
Reported Licensed Staffing Hours per Resident per Day
0.98061
Reported Total Nurse Staffing Hours per Resident per Day
2.95408
Reported Physical Therapist Staffing Hours per Resident Per Day
0.60204
Expected CNA Staffing Hours per Resident per Day
2.21106
Expected LPN Staffing Hours per Resident per Day
0.58265
Expected RN Staffing Hours per Resident per Day
0.75824
Expected Total Nurse Staffing Hours per Resident per Day
3.55195
Adjusted CNA Staffing Hours per Resident per Day
2.19003
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.96634
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35241
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
24
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-07-31
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
25
Cycle 3 Number of Standard Health Deficiencies
25
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
546
Cycle 3 Standard Health Survey Date
2013-09-05
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
273
Cycle 3 Total Health Score
819
Total Weighted Health Survey Score
164.50000
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Golden Livingcenter - Salem

500 Colonial Drive | SALEM SD 57058 | 9.4 miles away

Diamond Care Center

901 N Main St Post Office Box 300 | BRIDGEWATER SD 57319 | 11 miles away

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