North Dakota Nursing Homes >> Lakota Nursing Homes >> Good Samaritan Society - Lakota

Good Samaritan Society - Lakota - Lakota Nursing Home

General Information

UPDATE
Federal Provider Number
355104
Provider Name
GOOD SAMARITAN SOCIETY - LAKOTA
Provider Address
608 4TH AVE SW
LAKOTA, ND 58344
Provider Phone Number
7012472902
Provider SSA County
310
Provider County Name
Nelson
Ownership Type
Non profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
40
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
1991-04-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.61000
Reported LPN Staffing Hours per Resident per Day
0.31250
Reported RN Staffing Hours per Resident per Day
0.61500
Reported Licensed Staffing Hours per Resident per Day
0.92750
Reported Total Nurse Staffing Hours per Resident per Day
3.53750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00500
Expected CNA Staffing Hours per Resident per Day
2.29750
Expected LPN Staffing Hours per Resident per Day
0.54722
Expected RN Staffing Hours per Resident per Day
0.75765
Expected Total Nurse Staffing Hours per Resident per Day
3.60237
Adjusted CNA Staffing Hours per Resident per Day
2.78745
Adjusted LPN Staffing Hours per Resident per Day
0.47399
Adjusted RN Staffing Hours per Resident per Day
0.60652
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95832
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
24
Cycle 1 Standard Survey Health Date
2015-01-29
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
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
2014-02-05
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-02-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
22.00000
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

Nelson County Health System Care Center

108 E Nyhus Ave | MCVILLE ND 58254 | 20.1 miles away

Aneta Parkview Health Ctr

113 5th St S | ANETA ND 58212 | 29.6 miles away

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