Good Samaritan Society - Stillwater - Stillwater Nursing Home
General Information
UPDATEFederal Provider Number
245207
Provider Name
GOOD SAMARITAN SOCIETY - STILLWATER
Provider Address
1119 OWENS STREET NORTH
STILLWATER, MN 55082
STILLWATER, MN 55082
Provider Phone Number
6514397180
Provider SSA County
810
Provider County Name
Washington
Ownership Type
Non profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
81
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
1976-05-01
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.64691
Reported LPN Staffing Hours per Resident per Day
0.62346
Reported RN Staffing Hours per Resident per Day
1.85309
Reported Licensed Staffing Hours per Resident per Day
2.47654
Reported Total Nurse Staffing Hours per Resident per Day
4.12346
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06975
Expected CNA Staffing Hours per Resident per Day
2.35800
Expected LPN Staffing Hours per Resident per Day
0.56181
Expected RN Staffing Hours per Resident per Day
0.84792
Expected Total Nurse Staffing Hours per Resident per Day
3.76772
Adjusted CNA Staffing Hours per Resident per Day
1.71375
Adjusted LPN Staffing Hours per Resident per Day
0.92108
Adjusted RN Staffing Hours per Resident per Day
1.63298
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41149
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
20
Cycle 2 Standard Health Survey Date
2013-10-31
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
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
44
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
38.66700
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Golden Livingcenter - Linden
105 West Linden Street |
STILLWATER MN 55082 | 0.7 mile away
Golden Livingcenter - Greeley
313 South Greeley Street |
STILLWATER MN 55082 | 0.9 mile away
Gables Of Boutwells Landing
13575 58th Street |
OAK PARK HEIGHTS MN 55082 | 2.3 miles away
Woodbury Health Care Center
7012 Lake Road |
WOODBURY MN 55125 | 13 miles away
Birchwood Health Care Center
604 - 1st Street Ne |
FOREST LAKE MN 55025 | 17.2 miles away
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