Minnesota Nursing Homes >> Warren Nursing Homes >> Good Samaritan Society - Warren

Good Samaritan Society - Warren - Warren Nursing Home

General Information

UPDATE
Federal Provider Number
245550
Provider Name
GOOD SAMARITAN SOCIETY - WARREN
Provider Address
410 SOUTH MCKINLEY STREET
WARREN, MN 56762
Provider Phone Number
2187455282
Provider SSA County
440
Provider County Name
Marshall
Ownership Type
Non profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
46
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
1991-03-01
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.56304
Reported LPN Staffing Hours per Resident per Day
0.47826
Reported RN Staffing Hours per Resident per Day
0.80761
Reported Licensed Staffing Hours per Resident per Day
1.28587
Reported Total Nurse Staffing Hours per Resident per Day
2.84891
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05543
Expected CNA Staffing Hours per Resident per Day
2.26660
Expected LPN Staffing Hours per Resident per Day
0.59177
Expected RN Staffing Hours per Resident per Day
0.86563
Expected Total Nurse Staffing Hours per Resident per Day
3.72400
Adjusted CNA Staffing Hours per Resident per Day
1.69206
Adjusted LPN Staffing Hours per Resident per Day
0.67080
Adjusted RN Staffing Hours per Resident per Day
0.69712
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08369
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-11-07
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
119
Cycle 3 Standard Health Survey Date
2014-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
119
Total Weighted Health Survey Score
66.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
23888
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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