Good Samaritan Society - Hutchinson Village - Hutchinson Nursing Home
General Information
UPDATEFederal Provider Number
175260
Provider Name
GOOD SAMARITAN SOCIETY - HUTCHINSON VILLAGE
Provider Address
810 E 30TH AVE
HUTCHINSON, KS 67502
HUTCHINSON, KS 67502
Provider Phone Number
(620) 663-1189
Provider SSA County
770
Provider County Name
Reno
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
71
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
1993-10-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.90986
Reported LPN Staffing Hours per Resident per Day
0.57465
Reported RN Staffing Hours per Resident per Day
0.39859
Reported Licensed Staffing Hours per Resident per Day
0.97324
Reported Total Nurse Staffing Hours per Resident per Day
3.88310
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09577
Expected CNA Staffing Hours per Resident per Day
2.13199
Expected LPN Staffing Hours per Resident per Day
0.57692
Expected RN Staffing Hours per Resident per Day
0.88615
Expected Total Nurse Staffing Hours per Resident per Day
3.59507
Adjusted CNA Staffing Hours per Resident per Day
3.34894
Adjusted LPN Staffing Hours per Resident per Day
0.82673
Adjusted RN Staffing Hours per Resident per Day
0.33609
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35385
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
16
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
29
Cycle 2 Number of Standard Health Deficiencies
26
Cycle 2 Number of Complaint Health Deficiencies
29
Cycle 2 Health Deficiency Score
355
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
178
Cycle 2 Total Health Score
533
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-02-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
240.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
17
Number of Fines
1
Total Amount of Fines in Dollars
5168
Number of Payment Denials
2
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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