South Dakota Nursing Homes >> Tripp Nursing Homes >> Good Samaritan Society Tripp

Good Samaritan Society Tripp - Tripp Nursing Home

General Information

UPDATE
Federal Provider Number
435091
Provider Name
GOOD SAMARITAN SOCIETY TRIPP
Provider Address
300 N DOBSON ST
TRIPP, SD 57376
Provider Phone Number
6059356101
Provider SSA County
330
Provider County Name
Hutchinson
Ownership Type
Non profit - Other
Number of Certified Beds
44
Number of Residents in Certified Beds
42
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
1995-12-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.03929
Reported LPN Staffing Hours per Resident per Day
0.17738
Reported RN Staffing Hours per Resident per Day
0.88333
Reported Licensed Staffing Hours per Resident per Day
1.06071
Reported Total Nurse Staffing Hours per Resident per Day
3.10000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00833
Expected CNA Staffing Hours per Resident per Day
2.35401
Expected LPN Staffing Hours per Resident per Day
0.56678
Expected RN Staffing Hours per Resident per Day
0.83428
Expected Total Nurse Staffing Hours per Resident per Day
3.75506
Adjusted CNA Staffing Hours per Resident per Day
2.12565
Adjusted LPN Staffing Hours per Resident per Day
0.25976
Adjusted RN Staffing Hours per Resident per Day
0.79113
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32772
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-26
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
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-02-12
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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