Good Samaritan Society - Hays - Hays Nursing Home
General Information
UPDATEFederal Provider Number
175322
Provider Name
GOOD SAMARITAN SOCIETY - HAYS
Provider Address
2700 CANAL BLVD
HAYS, KS 67601
HAYS, KS 67601
Provider Phone Number
7856257331
Provider SSA County
250
Provider County Name
Ellis
Ownership Type
Non profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
68
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
1994-12-01
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.89191
Reported LPN Staffing Hours per Resident per Day
0.75515
Reported RN Staffing Hours per Resident per Day
0.48382
Reported Licensed Staffing Hours per Resident per Day
1.23897
Reported Total Nurse Staffing Hours per Resident per Day
3.13088
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00956
Expected CNA Staffing Hours per Resident per Day
2.36015
Expected LPN Staffing Hours per Resident per Day
0.61240
Expected RN Staffing Hours per Resident per Day
0.90617
Expected Total Nurse Staffing Hours per Resident per Day
3.87871
Adjusted CNA Staffing Hours per Resident per Day
1.96690
Adjusted LPN Staffing Hours per Resident per Day
1.02348
Adjusted RN Staffing Hours per Resident per Day
0.39894
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25373
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-11-05
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
25
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
20
Cycle 2 Health Deficiency Score
204
Cycle 2 Standard Health Survey Date
2013-08-07
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
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
116.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
2730
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Via Christi Village - Hays Inc
2225 Canterbury Dr |
HAYS KS 67601 | 1.9 miles away
Hays Medical Center Ltcu
2220 Sw Canterbury Drive |
HAYS KS 67601 | 1.9 miles away
Good Samaritan Society - Ellis
1101 Spruce St |
ELLIS KS 67637 | 12.3 miles away
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