Good Samaritan Society - Hot Springs Village - Hot Springs Village Nursing Home
General Information
UPDATEFederal Provider Number
45191
Provider Name
GOOD SAMARITAN SOCIETY - HOT SPRINGS VILLAGE
Provider Address
121 CORTEZ RD
HOT SPRINGS VILLAGE, AR 71909
HOT SPRINGS VILLAGE, AR 71909
Provider Phone Number
(501) 922-2000
Provider SSA County
250
Provider County Name
Garland
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
37
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
1992-03-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
QM Rating Footnote
Staffing Rating
4
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
3.17973
Reported LPN Staffing Hours per Resident per Day
1.14459
Reported RN Staffing Hours per Resident per Day
0.54054
Reported Licensed Staffing Hours per Resident per Day
1.68514
Reported Total Nurse Staffing Hours per Resident per Day
4.86486
Reported Physical Therapist Staffing Hours per Resident Per Day
0.30541
Expected CNA Staffing Hours per Resident per Day
2.48730
Expected LPN Staffing Hours per Resident per Day
0.58897
Expected RN Staffing Hours per Resident per Day
0.97133
Expected Total Nurse Staffing Hours per Resident per Day
4.04761
Adjusted CNA Staffing Hours per Resident per Day
3.13677
Adjusted LPN Staffing Hours per Resident per Day
1.61299
Adjusted RN Staffing Hours per Resident per Day
0.41581
Adjusted Total Nurse Staffing Hours per Resident per Day
4.84478
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
24
Cycle 1 Standard Survey Health Date
2014-04-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
386
Cycle 2 Standard Health Survey Date
2013-03-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
386
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-02-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
150.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
3
Total Amount of Fines in Dollars
14323
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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