Good Samaritan Society Luther Manor - Sioux Falls Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
435044
Provider Name
GOOD SAMARITAN SOCIETY LUTHER MANOR
Provider Address
1500 W 38TH ST
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
Provider Phone Number
(605) 336-1997
Provider SSA County
490
Provider County Name
Minnehaha
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
92
Number of Residents in Certified Beds
88
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
1990-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.34318
Reported LPN Staffing Hours per Resident per Day
0.38409
Reported RN Staffing Hours per Resident per Day
1.17955
Reported Licensed Staffing Hours per Resident per Day
1.56364
Reported Total Nurse Staffing Hours per Resident per Day
3.90682
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03920
Expected CNA Staffing Hours per Resident per Day
2.45480
Expected LPN Staffing Hours per Resident per Day
0.59754
Expected RN Staffing Hours per Resident per Day
0.95457
Expected Total Nurse Staffing Hours per Resident per Day
4.00691
Adjusted CNA Staffing Hours per Resident per Day
2.34213
Adjusted LPN Staffing Hours per Resident per Day
0.53352
Adjusted RN Staffing Hours per Resident per Day
0.92331
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93021
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-09-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
3
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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