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

Good Samaritan Society Wagner - Wagner Nursing Home

General Information

UPDATE
Federal Provider Number
435106
Provider Name
GOOD SAMARITAN SOCIETY WAGNER
Provider Address
515 W HWY 46
WAGNER, SD 57380
Provider Phone Number
6053843661
Provider SSA County
110
Provider County Name
Charles Mix
Ownership Type
Non profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
55
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
1997-08-01
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
3
Health Inspection Rating Footnote
QM Rating
1
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
2.45818
Reported LPN Staffing Hours per Resident per Day
0.13545
Reported RN Staffing Hours per Resident per Day
0.91091
Reported Licensed Staffing Hours per Resident per Day
1.04636
Reported Total Nurse Staffing Hours per Resident per Day
3.50454
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02182
Expected CNA Staffing Hours per Resident per Day
2.14238
Expected LPN Staffing Hours per Resident per Day
0.59045
Expected RN Staffing Hours per Resident per Day
0.86388
Expected Total Nurse Staffing Hours per Resident per Day
3.59671
Adjusted CNA Staffing Hours per Resident per Day
2.81539
Adjusted LPN Staffing Hours per Resident per Day
0.19040
Adjusted RN Staffing Hours per Resident per Day
0.78788
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92760
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-03-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
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
2014-02-05
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
37.33300
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

Lake Andes Senior Living

740 East Lake St Post Office Box 130 | LAKE ANDES SD 57356 | 13.1 miles away

Reviews: Be the first to review this provider.

Share your experience with Good Samaritan Society Wagner. You can help others by writing a review.