Good Samaritan Society - Osceola - Osceola Nursing Home

General Information

UPDATE
Federal Provider Number
285193
Provider Name
GOOD SAMARITAN SOCIETY - OSCEOLA
Provider Address
600 CENTER DRIVE
OSCEOLA, NE 68651
Provider Phone Number
4027472691
Provider SSA County
710
Provider County Name
Polk
Ownership Type
Non profit - Corporation
Number of Certified Beds
47
Number of Residents in Certified Beds
39
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
1996-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
2.31667
Reported LPN Staffing Hours per Resident per Day
0.67051
Reported RN Staffing Hours per Resident per Day
0.68333
Reported Licensed Staffing Hours per Resident per Day
1.35385
Reported Total Nurse Staffing Hours per Resident per Day
3.67051
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00769
Expected CNA Staffing Hours per Resident per Day
2.32854
Expected LPN Staffing Hours per Resident per Day
0.57545
Expected RN Staffing Hours per Resident per Day
0.84755
Expected Total Nurse Staffing Hours per Resident per Day
3.75154
Adjusted CNA Staffing Hours per Resident per Day
2.44119
Adjusted LPN Staffing Hours per Resident per Day
0.96712
Adjusted RN Staffing Hours per Resident per Day
0.60242
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94384
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-05-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-02-12
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-10-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
1
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

Midwest Covenant Home

P O Box 367, 615 East 9th Street | STROMSBURG NE 68666 | 4.8 miles away

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