Good Samaritan Society Corsica - Corsica Nursing Home

General Information

UPDATE
Federal Provider Number
435089
Provider Name
GOOD SAMARITAN SOCIETY CORSICA
Provider Address
455 NORTH DAKOTA
CORSICA, SD 57328
Provider Phone Number
6059465467
Provider SSA County
210
Provider County Name
Douglas
Ownership Type
Non profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
42
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
1995-08-01
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
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.65238
Reported LPN Staffing Hours per Resident per Day
0.13095
Reported RN Staffing Hours per Resident per Day
0.93333
Reported Licensed Staffing Hours per Resident per Day
1.06429
Reported Total Nurse Staffing Hours per Resident per Day
3.71666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05476
Expected CNA Staffing Hours per Resident per Day
2.37876
Expected LPN Staffing Hours per Resident per Day
0.57084
Expected RN Staffing Hours per Resident per Day
0.84983
Expected Total Nurse Staffing Hours per Resident per Day
3.79943
Adjusted CNA Staffing Hours per Resident per Day
2.73594
Adjusted LPN Staffing Hours per Resident per Day
0.19040
Adjusted RN Staffing Hours per Resident per Day
0.82062
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94309
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-02-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-09
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
8
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
10.00000
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Golden Livingcenter - Armour

106 Braddock Post Office Box 489 | ARMOUR SD 57313 | 8.1 miles away

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