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

Good Samaritan Society - Windom - Windom Nursing Home

General Information

UPDATE
Federal Provider Number
245558
Provider Name
GOOD SAMARITAN SOCIETY - WINDOM
Provider Address
705 SIXTH STREET
WINDOM, MN 56101
Provider Phone Number
5078311788
Provider SSA County
160
Provider County Name
Cottonwood
Ownership Type
Non profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
76
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
1991-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.22829
Reported LPN Staffing Hours per Resident per Day
0.37829
Reported RN Staffing Hours per Resident per Day
0.58684
Reported Licensed Staffing Hours per Resident per Day
0.96513
Reported Total Nurse Staffing Hours per Resident per Day
3.19342
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02039
Expected CNA Staffing Hours per Resident per Day
2.49390
Expected LPN Staffing Hours per Resident per Day
0.55532
Expected RN Staffing Hours per Resident per Day
0.76311
Expected Total Nurse Staffing Hours per Resident per Day
3.81233
Adjusted CNA Staffing Hours per Resident per Day
2.19237
Adjusted LPN Staffing Hours per Resident per Day
0.56540
Adjusted RN Staffing Hours per Resident per Day
0.57460
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37650
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-04-03
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
52
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
31.33300
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

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