Nebraska Nursing Homes >> Alma Nursing Homes >> Good Samaritan Society - Colonial Villa

Good Samaritan Society - Colonial Villa - Alma Nursing Home

General Information

UPDATE
Federal Provider Number
285185
Provider Name
GOOD SAMARITAN SOCIETY - COLONIAL VILLA
Provider Address
719 NORTH BROWN STREET
ALMA, NE 68920
Provider Phone Number
3089282128
Provider SSA County
410
Provider County Name
Harlan
Ownership Type
Non profit - Corporation
Number of Certified Beds
53
Number of Residents in Certified Beds
35
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
1996-05-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.80143
Reported LPN Staffing Hours per Resident per Day
0.36143
Reported RN Staffing Hours per Resident per Day
0.87571
Reported Licensed Staffing Hours per Resident per Day
1.23714
Reported Total Nurse Staffing Hours per Resident per Day
4.03857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01429
Expected CNA Staffing Hours per Resident per Day
2.25368
Expected LPN Staffing Hours per Resident per Day
0.59125
Expected RN Staffing Hours per Resident per Day
0.96965
Expected Total Nurse Staffing Hours per Resident per Day
3.81458
Adjusted CNA Staffing Hours per Resident per Day
3.05006
Adjusted LPN Staffing Hours per Resident per Day
0.50738
Adjusted RN Staffing Hours per Resident per Day
0.67481
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26759
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-01-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2012-10-11
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-09-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
2
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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