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

Good Samaritan Society - Larimore - Larimore Nursing Home

General Information

UPDATE
Federal Provider Number
355097
Provider Name
GOOD SAMARITAN SOCIETY - LARIMORE
Provider Address
501 E FRONT ST
LARIMORE, ND 58251
Provider Phone Number
7013436244
Provider SSA County
170
Provider County Name
Grand Forks
Ownership Type
Non profit - Other
Number of Certified Beds
45
Number of Residents in Certified Beds
43
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
1991-01-02
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.52907
Reported LPN Staffing Hours per Resident per Day
0.63837
Reported RN Staffing Hours per Resident per Day
0.67791
Reported Licensed Staffing Hours per Resident per Day
1.31628
Reported Total Nurse Staffing Hours per Resident per Day
3.84535
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00698
Expected CNA Staffing Hours per Resident per Day
2.40526
Expected LPN Staffing Hours per Resident per Day
0.54660
Expected RN Staffing Hours per Resident per Day
0.76002
Expected Total Nurse Staffing Hours per Resident per Day
3.71188
Adjusted CNA Staffing Hours per Resident per Day
2.58001
Adjusted LPN Staffing Hours per Resident per Day
0.96934
Adjusted RN Staffing Hours per Resident per Day
0.66647
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17584
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-12-18
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
18.00000
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

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