Illinois Nursing Homes >> Geneseo Nursing Homes >> Good Samaritan Society - Geneseo Village

Good Samaritan Society - Geneseo Village - Geneseo Nursing Home

General Information

UPDATE
Federal Provider Number
145789
Provider Name
GOOD SAMARITAN SOCIETY - GENESEO VILLAGE
Provider Address
704 SOUTH ILLINOIS STREET
GENESEO, IL 61254
Provider Phone Number
(309) 944-6424
Provider SSA County
450
Provider County Name
Henry
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
62
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
1994-03-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.27419
Reported LPN Staffing Hours per Resident per Day
0.56048
Reported RN Staffing Hours per Resident per Day
0.64516
Reported Licensed Staffing Hours per Resident per Day
1.20565
Reported Total Nurse Staffing Hours per Resident per Day
3.47983
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03468
Expected CNA Staffing Hours per Resident per Day
2.36783
Expected LPN Staffing Hours per Resident per Day
0.54827
Expected RN Staffing Hours per Resident per Day
0.88060
Expected Total Nurse Staffing Hours per Resident per Day
3.79670
Adjusted CNA Staffing Hours per Resident per Day
2.35666
Adjusted LPN Staffing Hours per Resident per Day
0.84848
Adjusted RN Staffing Hours per Resident per Day
0.54743
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69449
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
44
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
24.00000
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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