Good Samaritan Society - Waconia And Westview Acre - Waconia Nursing Home

General Information

UPDATE
Federal Provider Number
245234
Provider Name
GOOD SAMARITAN SOCIETY - WACONIA AND WESTVIEW ACRE
Provider Address
333 FIFTH STREET WEST
WACONIA, MN 55387
Provider Phone Number
9524425111
Provider SSA County
90
Provider County Name
Carver
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
94
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
1980-01-04
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
5
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
2.62553
Reported LPN Staffing Hours per Resident per Day
0.86436
Reported RN Staffing Hours per Resident per Day
0.81489
Reported Licensed Staffing Hours per Resident per Day
1.67926
Reported Total Nurse Staffing Hours per Resident per Day
4.30478
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08830
Expected CNA Staffing Hours per Resident per Day
2.60255
Expected LPN Staffing Hours per Resident per Day
0.58186
Expected RN Staffing Hours per Resident per Day
0.88550
Expected Total Nurse Staffing Hours per Resident per Day
4.06991
Adjusted CNA Staffing Hours per Resident per Day
2.47536
Adjusted LPN Staffing Hours per Resident per Day
1.23297
Adjusted RN Staffing Hours per Resident per Day
0.68762
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26351
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
16
Cycle 2 Standard Health Survey Date
2013-06-13
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
2012-08-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Auburn Home In Waconia

594 Cherry Drive | WACONIA MN 55387 | 0.2 mile away

Elim Home - Watertown

409 Jefferson Avenue Southwest, Box 638 | WATERTOWN MN 55388 | 8.7 miles away

Auburn Manor

501 Oak Street | CHASKA MN 55318 | 10.2 miles away

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