South Dakota Nursing Homes >> Miller Nursing Homes >> Good Samaritan Society Miller

Good Samaritan Society Miller - Miller Nursing Home

General Information

UPDATE
Federal Provider Number
435124
Provider Name
GOOD SAMARITAN SOCIETY MILLER
Provider Address
421 EAST 4TH ST
MILLER, SD 57362
Provider Phone Number
6058532701
Provider SSA County
290
Provider County Name
Hand
Ownership Type
Non profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
49
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
2008-05-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.08878
Reported LPN Staffing Hours per Resident per Day
0.22143
Reported RN Staffing Hours per Resident per Day
0.92245
Reported Licensed Staffing Hours per Resident per Day
1.14388
Reported Total Nurse Staffing Hours per Resident per Day
3.23266
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03163
Expected CNA Staffing Hours per Resident per Day
2.58295
Expected LPN Staffing Hours per Resident per Day
0.61058
Expected RN Staffing Hours per Resident per Day
0.89790
Expected Total Nurse Staffing Hours per Resident per Day
4.09143
Adjusted CNA Staffing Hours per Resident per Day
1.98426
Adjusted LPN Staffing Hours per Resident per Day
0.30101
Adjusted RN Staffing Hours per Resident per Day
0.76763
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18484
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-06-12
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-04-25
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
17.33300
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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