Good Samaritan Society-prescott Valley - Prescott Valley Nursing Home
General Information
UPDATEFederal Provider Number
35244
Provider Name
GOOD SAMARITAN SOCIETY-PRESCOTT VALLEY
Provider Address
3380 NORTH WINDSONG DRIVE
PRESCOTT VALLEY, AZ 86314
PRESCOTT VALLEY, AZ 86314
Provider Phone Number
9287750045
Provider SSA County
120
Provider County Name
Yavapai
Ownership Type
Non profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
70
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
1997-10-14
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.45714
Reported LPN Staffing Hours per Resident per Day
0.43286
Reported RN Staffing Hours per Resident per Day
1.73071
Reported Licensed Staffing Hours per Resident per Day
2.16357
Reported Total Nurse Staffing Hours per Resident per Day
4.62071
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16357
Expected CNA Staffing Hours per Resident per Day
2.33767
Expected LPN Staffing Hours per Resident per Day
0.55535
Expected RN Staffing Hours per Resident per Day
0.85124
Expected Total Nurse Staffing Hours per Resident per Day
3.74425
Adjusted CNA Staffing Hours per Resident per Day
2.57910
Adjusted LPN Staffing Hours per Resident per Day
0.64694
Adjusted RN Staffing Hours per Resident per Day
1.51918
Adjusted Total Nurse Staffing Hours per Resident per Day
4.97445
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2013-03-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
24
Cycle 2 Standard Health Survey Date
2011-12-22
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2010-11-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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
Mountain View Manor
1045 Sandretto Drive |
PRESCOTT AZ 86305 | 7.5 miles away
Las Fuentes Care Center
1045 Scott Drive |
PRESCOTT AZ 86301 | 8.6 miles away
Good Samaritan Society-prescott Village
1030 Scott Drive |
PRESCOTT AZ 86301 | 8.7 miles away
Prescott Nursing And Rehabilitation Center
864 Dougherty Street |
PRESCOTT AZ 86305 | 9.5 miles away
Haven Of Cottonwood, Llc
197 South Willard Street |
COTTONWOOD AZ 86326 | 19.9 miles away
Haven Of Camp Verde
86 West Salt Mine Road |
CAMP VERDE AZ 86322 | 27 miles away
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