Good Samaritan Society--white Acres - El Paso Nursing Home
General Information
UPDATEFederal Provider Number
675025
Provider Name
GOOD SAMARITAN SOCIETY--WHITE ACRES
Provider Address
7304 GOOD SAMARITAN CT
EL PASO, TX 79912
EL PASO, TX 79912
Provider Phone Number
(915) 581-4683
Provider SSA County
480
Provider County Name
El Paso
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
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
1992-05-01
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
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.84537
Reported LPN Staffing Hours per Resident per Day
1.23981
Reported RN Staffing Hours per Resident per Day
0.42685
Reported Licensed Staffing Hours per Resident per Day
1.66667
Reported Total Nurse Staffing Hours per Resident per Day
4.51203
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09352
Expected CNA Staffing Hours per Resident per Day
2.61469
Expected LPN Staffing Hours per Resident per Day
0.65789
Expected RN Staffing Hours per Resident per Day
1.06272
Expected Total Nurse Staffing Hours per Resident per Day
4.33530
Adjusted CNA Staffing Hours per Resident per Day
2.67018
Adjusted LPN Staffing Hours per Resident per Day
1.56415
Adjusted RN Staffing Hours per Resident per Day
0.30012
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19522
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
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
0
Cycle 2 Standard Health Survey Date
2014-01-10
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
1
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
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