Nebraska Nursing Homes >> Kearney Nursing Homes >> Good Samaritan Society - St Luke's Village

Good Samaritan Society - St Luke's Village - Kearney Nursing Home

General Information

UPDATE
Federal Provider Number
285192
Provider Name
GOOD SAMARITAN SOCIETY - ST LUKE'S VILLAGE
Provider Address
2201 EAST 32ND STREET
KEARNEY, NE 68847
Provider Phone Number
3082373108
Provider SSA County
90
Provider County Name
Buffalo
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
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
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
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
4
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
2.43542
Reported LPN Staffing Hours per Resident per Day
0.95521
Reported RN Staffing Hours per Resident per Day
0.65417
Reported Licensed Staffing Hours per Resident per Day
1.60938
Reported Total Nurse Staffing Hours per Resident per Day
4.04480
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01042
Expected CNA Staffing Hours per Resident per Day
2.45991
Expected LPN Staffing Hours per Resident per Day
0.58841
Expected RN Staffing Hours per Resident per Day
0.85530
Expected Total Nurse Staffing Hours per Resident per Day
3.90362
Adjusted CNA Staffing Hours per Resident per Day
2.42927
Adjusted LPN Staffing Hours per Resident per Day
1.34741
Adjusted RN Staffing Hours per Resident per Day
0.57149
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17668
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
44
Cycle 1 Standard Survey Health Date
2014-06-12
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
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-04-02
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-02-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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