South Dakota Nursing Homes >> Selby Nursing Homes >> Good Samaritan Society Selby

Good Samaritan Society Selby - Selby Nursing Home

General Information

UPDATE
Federal Provider Number
435123
Provider Name
GOOD SAMARITAN SOCIETY SELBY
Provider Address
4861 LINCOLN AVENUE
SELBY, SD 57472
Provider Phone Number
6056497663
Provider SSA County
640
Provider County Name
Walworth
Ownership Type
Non profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
48
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
2007-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
1.73646
Reported LPN Staffing Hours per Resident per Day
0.37500
Reported RN Staffing Hours per Resident per Day
0.52292
Reported Licensed Staffing Hours per Resident per Day
0.89792
Reported Total Nurse Staffing Hours per Resident per Day
2.63438
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08229
Expected CNA Staffing Hours per Resident per Day
2.22111
Expected LPN Staffing Hours per Resident per Day
0.58876
Expected RN Staffing Hours per Resident per Day
0.80794
Expected Total Nurse Staffing Hours per Resident per Day
3.61781
Adjusted CNA Staffing Hours per Resident per Day
1.91830
Adjusted LPN Staffing Hours per Resident per Day
0.52865
Adjusted RN Staffing Hours per Resident per Day
0.48361
Adjusted Total Nurse Staffing Hours per Resident per Day
2.93518
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-11-15
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
34.66700
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 - Mobridge

1100 Fourth Avenue East Post Office Box 937 | MOBRIDGE SD 57601 | 19.5 miles away

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