Good Samaritan Society Sioux Falls Center - Sioux Falls Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
435046
Provider Name
GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER
Provider Address
401 WEST SECOND STREET
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
Provider Phone Number
(605) 336-6252
Provider SSA County
490
Provider County Name
Minnehaha
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
96
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
1990-07-01
Continuing Care Retirement Community
N
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.71823
Reported LPN Staffing Hours per Resident per Day
0.52760
Reported RN Staffing Hours per Resident per Day
0.81042
Reported Licensed Staffing Hours per Resident per Day
1.33802
Reported Total Nurse Staffing Hours per Resident per Day
4.05625
Reported Physical Therapist Staffing Hours per Resident Per Day
0.48229
Expected CNA Staffing Hours per Resident per Day
2.38244
Expected LPN Staffing Hours per Resident per Day
0.65531
Expected RN Staffing Hours per Resident per Day
0.94448
Expected Total Nurse Staffing Hours per Resident per Day
3.98223
Adjusted CNA Staffing Hours per Resident per Day
2.79953
Adjusted LPN Staffing Hours per Resident per Day
0.66825
Adjusted RN Staffing Hours per Resident per Day
0.64114
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10583
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
52.66700
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
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