Kansas Nursing Homes >> Liberal Nursing Homes >> Good Samaritan Society - Liberal

Good Samaritan Society - Liberal - Liberal Nursing Home

General Information

UPDATE
Federal Provider Number
175334
Provider Name
GOOD SAMARITAN SOCIETY - LIBERAL
Provider Address
2160 ZINNIA LN
LIBERAL, KS 67901
Provider Phone Number
(620) 624-3831
Provider SSA County
870
Provider County Name
Seward
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
58
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
1995-05-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.73017
Reported LPN Staffing Hours per Resident per Day
0.27328
Reported RN Staffing Hours per Resident per Day
0.36293
Reported Licensed Staffing Hours per Resident per Day
0.63621
Reported Total Nurse Staffing Hours per Resident per Day
3.36638
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01207
Expected CNA Staffing Hours per Resident per Day
2.25006
Expected LPN Staffing Hours per Resident per Day
0.56942
Expected RN Staffing Hours per Resident per Day
0.86705
Expected Total Nurse Staffing Hours per Resident per Day
3.68653
Adjusted CNA Staffing Hours per Resident per Day
2.97726
Adjusted LPN Staffing Hours per Resident per Day
0.39834
Adjusted RN Staffing Hours per Resident per Day
0.31276
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68085
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
107
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
107
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
16
Cycle 2 Health Deficiency Score
156
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
78
Cycle 2 Total Health Score
234
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2012-05-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
128
Total Weighted Health Survey Score
152.83300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
97240
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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