Good Samaritan Society - Minneapolis - Minneapolis Nursing Home
General Information
UPDATEFederal Provider Number
175282
Provider Name
GOOD SAMARITAN SOCIETY - MINNEAPOLIS
Provider Address
815 N ROTHSAY
MINNEAPOLIS, KS 67467
MINNEAPOLIS, KS 67467
Provider Phone Number
7853922162
Provider SSA County
710
Provider County Name
Ottawa
Ownership Type
Non profit - Church related
Number of Certified Beds
84
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
1994-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.77500
Reported LPN Staffing Hours per Resident per Day
0.80345
Reported RN Staffing Hours per Resident per Day
0.43448
Reported Licensed Staffing Hours per Resident per Day
1.23793
Reported Total Nurse Staffing Hours per Resident per Day
4.01293
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00776
Expected CNA Staffing Hours per Resident per Day
2.17941
Expected LPN Staffing Hours per Resident per Day
0.54703
Expected RN Staffing Hours per Resident per Day
0.76943
Expected Total Nurse Staffing Hours per Resident per Day
3.49587
Adjusted CNA Staffing Hours per Resident per Day
3.12425
Adjusted LPN Staffing Hours per Resident per Day
1.21907
Adjusted RN Staffing Hours per Resident per Day
0.42193
Adjusted Total Nurse Staffing Hours per Resident per Day
4.62710
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-02-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
140
Cycle 2 Standard Health Survey Date
2013-11-04
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-11-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
92.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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
Ottawa County Health Center Ltcu
215 E 8th St |
MINNEAPOLIS KS 67467 | 0.2 mile away
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