Kansas Nursing Homes >> Wamego Nursing Homes >> Good Samaritan Society - Valley Vista

Good Samaritan Society - Valley Vista - Wamego Nursing Home

General Information

UPDATE
Federal Provider Number
175359
Provider Name
GOOD SAMARITAN SOCIETY - VALLEY VISTA
Provider Address
2011 GRANDVIEW DR
WAMEGO, KS 66547
Provider Phone Number
7854569482
Provider SSA County
740
Provider County Name
Pottawatomie
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
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
1996-03-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.13095
Reported LPN Staffing Hours per Resident per Day
0.81667
Reported RN Staffing Hours per Resident per Day
0.49405
Reported Licensed Staffing Hours per Resident per Day
1.31071
Reported Total Nurse Staffing Hours per Resident per Day
3.44167
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01667
Expected CNA Staffing Hours per Resident per Day
2.11685
Expected LPN Staffing Hours per Resident per Day
0.56462
Expected RN Staffing Hours per Resident per Day
0.79685
Expected Total Nurse Staffing Hours per Resident per Day
3.47832
Adjusted CNA Staffing Hours per Resident per Day
2.47005
Adjusted LPN Staffing Hours per Resident per Day
1.20052
Adjusted RN Staffing Hours per Resident per Day
0.46326
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98843
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
99
Cycle 1 Standard Survey Health Date
2014-06-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
99
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
95
Cycle 2 Standard Health Survey Date
2013-07-15
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
86.50000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
4778
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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