Nebraska Nursing Homes >> Kearney Nursing Homes >> Good Samaritan Society - St Johns

Good Samaritan Society - St Johns - Kearney Nursing Home

General Information

UPDATE
Federal Provider Number
285189
Provider Name
GOOD SAMARITAN SOCIETY - ST JOHNS
Provider Address
3410 CENTRAL AVENUE
KEARNEY, NE 68847
Provider Phone Number
3082341888
Provider SSA County
90
Provider County Name
Buffalo
Ownership Type
Non profit - Corporation
Number of Certified Beds
77
Number of Residents in Certified Beds
58
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
1996-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.70948
Reported LPN Staffing Hours per Resident per Day
0.61552
Reported RN Staffing Hours per Resident per Day
1.24310
Reported Licensed Staffing Hours per Resident per Day
1.85862
Reported Total Nurse Staffing Hours per Resident per Day
4.56810
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01810
Expected CNA Staffing Hours per Resident per Day
2.55779
Expected LPN Staffing Hours per Resident per Day
0.68570
Expected RN Staffing Hours per Resident per Day
1.08871
Expected Total Nurse Staffing Hours per Resident per Day
4.33220
Adjusted CNA Staffing Hours per Resident per Day
2.59922
Adjusted LPN Staffing Hours per Resident per Day
0.74505
Adjusted RN Staffing Hours per Resident per Day
0.85316
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25039
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-12-13
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
36
Cycle 3 Standard Health Survey Date
2011-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
21.33300
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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