Good Samaritan Society - Olathe - Olathe Nursing Home
General Information
UPDATEFederal Provider Number
175263
Provider Name
GOOD SAMARITAN SOCIETY - OLATHE
Provider Address
20705 W 151ST ST
OLATHE, KS 66061
OLATHE, KS 66061
Provider Phone Number
(913) 782-1372
Provider SSA County
450
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
140
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
1993-10-01
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.29179
Reported LPN Staffing Hours per Resident per Day
0.91500
Reported RN Staffing Hours per Resident per Day
0.57536
Reported Licensed Staffing Hours per Resident per Day
1.49036
Reported Total Nurse Staffing Hours per Resident per Day
3.78215
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01179
Expected CNA Staffing Hours per Resident per Day
2.23198
Expected LPN Staffing Hours per Resident per Day
0.59844
Expected RN Staffing Hours per Resident per Day
0.91354
Expected Total Nurse Staffing Hours per Resident per Day
3.74396
Adjusted CNA Staffing Hours per Resident per Day
2.51945
Adjusted LPN Staffing Hours per Resident per Day
1.26905
Adjusted RN Staffing Hours per Resident per Day
0.47060
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07202
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-12-02
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
123
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
123
Total Weighted Health Survey Score
73.16700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
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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