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

Good Samaritan Society - Winthrop - Winthrop Nursing Home

General Information

UPDATE
Federal Provider Number
245314
Provider Name
GOOD SAMARITAN SOCIETY - WINTHROP
Provider Address
506 HIGH STREET
WINTHROP, MN 55396
Provider Phone Number
(507) 647-5391
Provider SSA County
710
Provider County Name
Sibley
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
37
Number of Residents in Certified Beds
33
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
1986-05-01
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
3
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
2.79545
Reported LPN Staffing Hours per Resident per Day
0.62121
Reported RN Staffing Hours per Resident per Day
0.60909
Reported Licensed Staffing Hours per Resident per Day
1.23030
Reported Total Nurse Staffing Hours per Resident per Day
4.02575
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01667
Expected CNA Staffing Hours per Resident per Day
2.42330
Expected LPN Staffing Hours per Resident per Day
0.58510
Expected RN Staffing Hours per Resident per Day
0.84333
Expected Total Nurse Staffing Hours per Resident per Day
3.85173
Adjusted CNA Staffing Hours per Resident per Day
2.83052
Adjusted LPN Staffing Hours per Resident per Day
0.88123
Adjusted RN Staffing Hours per Resident per Day
0.53966
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21301
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
28.66700
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
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