Kansas Nursing Homes >> Dodge City Nursing Homes >> Good Samaritan Society - Dodge City

Good Samaritan Society - Dodge City - Dodge City Nursing Home

General Information

UPDATE
Federal Provider Number
175207
Provider Name
GOOD SAMARITAN SOCIETY - DODGE CITY
Provider Address
501 W BEESON RD
DODGE CITY, KS 67801
Provider Phone Number
(620) 227-7512
Provider SSA County
280
Provider County Name
Ford
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
50
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
1991-05-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.71400
Reported LPN Staffing Hours per Resident per Day
0.27400
Reported RN Staffing Hours per Resident per Day
0.61200
Reported Licensed Staffing Hours per Resident per Day
0.88600
Reported Total Nurse Staffing Hours per Resident per Day
3.60000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02600
Expected CNA Staffing Hours per Resident per Day
2.19069
Expected LPN Staffing Hours per Resident per Day
0.60065
Expected RN Staffing Hours per Resident per Day
0.88835
Expected Total Nurse Staffing Hours per Resident per Day
3.67968
Adjusted CNA Staffing Hours per Resident per Day
3.03984
Adjusted LPN Staffing Hours per Resident per Day
0.37862
Adjusted RN Staffing Hours per Resident per Day
0.51476
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94361
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
156
Cycle 1 Standard Survey Health Date
2015-04-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
156
Cycle 2 Total Number of Health Deficiencies
40
Cycle 2 Number of Standard Health Deficiencies
31
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
328
Cycle 2 Standard Health Survey Date
2013-12-18
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
164
Cycle 2 Total Health Score
492
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
15
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-07-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
260.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
7
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
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