Minnesota Nursing Homes >> Jackson Nursing Homes >> Good Samaritan Society - Jackson

Good Samaritan Society - Jackson - Jackson Nursing Home

General Information

UPDATE
Federal Provider Number
245455
Provider Name
GOOD SAMARITAN SOCIETY - JACKSON
Provider Address
601 WEST JACKSON
JACKSON, MN 56143
Provider Phone Number
5078473100
Provider SSA County
310
Provider County Name
Jackson
Ownership Type
Non profit - Corporation
Number of Certified Beds
63
Number of Residents in Certified Beds
53
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
1987-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.54434
Reported LPN Staffing Hours per Resident per Day
0.58396
Reported RN Staffing Hours per Resident per Day
0.87358
Reported Licensed Staffing Hours per Resident per Day
1.45755
Reported Total Nurse Staffing Hours per Resident per Day
4.00188
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01792
Expected CNA Staffing Hours per Resident per Day
2.64720
Expected LPN Staffing Hours per Resident per Day
0.57928
Expected RN Staffing Hours per Resident per Day
0.75229
Expected Total Nurse Staffing Hours per Resident per Day
3.97877
Adjusted CNA Staffing Hours per Resident per Day
2.35836
Adjusted LPN Staffing Hours per Resident per Day
0.83670
Adjusted RN Staffing Hours per Resident per Day
0.86767
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05431
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
14
Cycle 1 Total Health Score
42
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-08
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
31.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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

Nursiong Homes Nearby

Colonial Manor Nursing Home

403 Colonial Avenue | LAKEFIELD MN 56150 | 9.4 miles away

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