North Dakota Nursing Homes >> Oakes Nursing Homes >> Good Samaritan Society - Oakes

Good Samaritan Society - Oakes - Oakes Nursing Home

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Federal Provider Number
355095
Provider Name
GOOD SAMARITAN SOCIETY - OAKES
Provider Address
213 N 9TH ST
OAKES, ND 58474
Provider Phone Number
(701) 742-3274
Provider SSA County
100
Provider County Name
Dickey
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
74
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
1991-01-14
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
2
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
2.16892
Reported LPN Staffing Hours per Resident per Day
0.64662
Reported RN Staffing Hours per Resident per Day
0.60405
Reported Licensed Staffing Hours per Resident per Day
1.25068
Reported Total Nurse Staffing Hours per Resident per Day
3.41959
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00203
Expected CNA Staffing Hours per Resident per Day
2.30576
Expected LPN Staffing Hours per Resident per Day
0.56885
Expected RN Staffing Hours per Resident per Day
0.84369
Expected Total Nurse Staffing Hours per Resident per Day
3.71830
Adjusted CNA Staffing Hours per Resident per Day
2.30808
Adjusted LPN Staffing Hours per Resident per Day
0.94347
Adjusted RN Staffing Hours per Resident per Day
0.53497
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70708
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
100
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
100
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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