Good Samaritan Society - Syracuse - Syracuse Nursing Home
General Information
UPDATEFederal Provider Number
285138
Provider Name
GOOD SAMARITAN SOCIETY - SYRACUSE
Provider Address
P O BOX F-1, 1622 WALNUT STREET
SYRACUSE, NE 68446
SYRACUSE, NE 68446
Provider Phone Number
4022692251
Provider SSA County
650
Provider County Name
Otoe
Ownership Type
Non profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
67
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
1994-02-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.72985
Reported LPN Staffing Hours per Resident per Day
0.37910
Reported RN Staffing Hours per Resident per Day
0.60896
Reported Licensed Staffing Hours per Resident per Day
0.98806
Reported Total Nurse Staffing Hours per Resident per Day
3.71791
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15970
Expected CNA Staffing Hours per Resident per Day
2.30909
Expected LPN Staffing Hours per Resident per Day
0.56941
Expected RN Staffing Hours per Resident per Day
0.87130
Expected Total Nurse Staffing Hours per Resident per Day
3.74980
Adjusted CNA Staffing Hours per Resident per Day
2.90081
Adjusted LPN Staffing Hours per Resident per Day
0.55260
Adjusted RN Staffing Hours per Resident per Day
0.52222
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99662
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-06-05
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
10.66700
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
The Ambassador Nebraska City
1800 14th Avenue |
NEBRASKA CITY NE 68410 | 16.9 miles away
Duff Memorial Nursing Home
1104 Third Avenue |
NEBRASKA CITY NE 68410 | 17.3 miles away
Golden Livingcenter - Nebraska City
1420 North 10th Street |
NEBRASKA CITY NE 68410 | 17.4 miles away
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