Good Samaritan Society New Underwood - New Underwood Nursing Home
General Information
UPDATEFederal Provider Number
435104
Provider Name
GOOD SAMARITAN SOCIETY NEW UNDERWOOD
Provider Address
412 SOUTH MADISON POST OFFICE BOX 327
NEW UNDERWOOD, SD 57761
NEW UNDERWOOD, SD 57761
Provider Phone Number
6057546489
Provider SSA County
510
Provider County Name
Pennington
Ownership Type
Non profit - Church related
Number of Certified Beds
42
Number of Residents in Certified Beds
38
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
1997-07-01
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
3
Health Inspection Rating Footnote
QM Rating
4
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
2.53421
Reported LPN Staffing Hours per Resident per Day
0.39868
Reported RN Staffing Hours per Resident per Day
0.62237
Reported Licensed Staffing Hours per Resident per Day
1.02105
Reported Total Nurse Staffing Hours per Resident per Day
3.55526
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01316
Expected CNA Staffing Hours per Resident per Day
2.46319
Expected LPN Staffing Hours per Resident per Day
0.54336
Expected RN Staffing Hours per Resident per Day
0.87091
Expected Total Nurse Staffing Hours per Resident per Day
3.87745
Adjusted CNA Staffing Hours per Resident per Day
2.52444
Adjusted LPN Staffing Hours per Resident per Day
0.60900
Adjusted RN Staffing Hours per Resident per Day
0.53397
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69595
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-03-13
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-01-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
25.33300
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
Nursiong Homes Nearby
Golden Livingcenter - Bella Vista
302 St Cloud Street |
RAPID CITY SD 57701 | 19.3 miles away
Westhills Village Health Care Facility
255 Texas St |
RAPID CITY SD 57701 | 19.3 miles away
Golden Livingcenter - Black Hills
1620 North 7th Street |
RAPID CITY SD 57701 | 19.5 miles away
Fountain Springs Healthcare
2000 Wesleyan Blvd |
RAPID CITY SD 57702 | 20.6 miles away
Golden Livingcenter - Prairie Hills
916 Mountain View Road |
RAPID CITY SD 57702 | 20.6 miles away
Clarkson Health Care
1015 Mt View Rd |
RAPID CITY SD 57702 | 20.7 miles away
Golden Livingcenter - Meadowbrook
2500 Arrowhead Dr |
RAPID CITY SD 57702 | 21.6 miles away
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