Good Samaritan Society-denton Village - Denton Nursing Home

General Information

UPDATE
Federal Provider Number
455627
Provider Name
GOOD SAMARITAN SOCIETY-DENTON VILLAGE
Provider Address
2500 HINKLE DR
DENTON, TX 76201
Provider Phone Number
9403832651
Provider SSA County
410
Provider County Name
Denton
Ownership Type
Non profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
61
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
1986-02-13
Continuing Care Retirement Community
Y
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
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34918
Reported LPN Staffing Hours per Resident per Day
1.46721
Reported RN Staffing Hours per Resident per Day
0.33689
Reported Licensed Staffing Hours per Resident per Day
1.80410
Reported Total Nurse Staffing Hours per Resident per Day
4.15328
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09344
Expected CNA Staffing Hours per Resident per Day
2.45460
Expected LPN Staffing Hours per Resident per Day
0.63097
Expected RN Staffing Hours per Resident per Day
1.03238
Expected Total Nurse Staffing Hours per Resident per Day
4.11795
Adjusted CNA Staffing Hours per Resident per Day
2.34832
Adjusted LPN Staffing Hours per Resident per Day
1.93002
Adjusted RN Staffing Hours per Resident per Day
0.24383
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06548
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
2014-06-18
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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