Good Samaritan Society - Decatur County - Oberlin Nursing Home
General Information
UPDATEFederal Provider Number
175356
Provider Name
GOOD SAMARITAN SOCIETY - DECATUR COUNTY
Provider Address
108 E ASH ST
OBERLIN, KS 67749
OBERLIN, KS 67749
Provider Phone Number
(785) 475-2245
Provider SSA County
190
Provider County Name
Decatur
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
45
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
1996-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.41714
Reported LPN Staffing Hours per Resident per Day
0.64429
Reported RN Staffing Hours per Resident per Day
0.96143
Reported Licensed Staffing Hours per Resident per Day
1.60571
Reported Total Nurse Staffing Hours per Resident per Day
4.02286
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00571
Expected CNA Staffing Hours per Resident per Day
2.18137
Expected LPN Staffing Hours per Resident per Day
0.55677
Expected RN Staffing Hours per Resident per Day
0.71057
Expected Total Nurse Staffing Hours per Resident per Day
3.44871
Adjusted CNA Staffing Hours per Resident per Day
2.71891
Adjusted LPN Staffing Hours per Resident per Day
0.96048
Adjusted RN Staffing Hours per Resident per Day
1.01099
Adjusted Total Nurse Staffing Hours per Resident per Day
4.70198
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-05-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
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
2013-02-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
136
Cycle 3 Standard Health Survey Date
2011-11-01
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
68
Cycle 3 Total Health Score
204
Total Weighted Health Survey Score
78.66700
Number of Facility Reported Incidents
1
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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Nursiong Homes Nearby
Decatur County Hospital Ltcu
810 W Columbia St |
OBERLIN KS 67749 | 0.7 mile away