Good Samaritan Society - Wood River - Wood River Nursing Home
General Information
UPDATEFederal Provider Number
285198
Provider Name
GOOD SAMARITAN SOCIETY - WOOD RIVER
Provider Address
1401 EAST STREET
WOOD RIVER, NE 68883
WOOD RIVER, NE 68883
Provider Phone Number
3085832214
Provider SSA County
390
Provider County Name
Hall
Ownership Type
Non profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
53
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
1996-09-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.53491
Reported LPN Staffing Hours per Resident per Day
0.36321
Reported RN Staffing Hours per Resident per Day
0.67453
Reported Licensed Staffing Hours per Resident per Day
1.03774
Reported Total Nurse Staffing Hours per Resident per Day
3.57265
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00943
Expected CNA Staffing Hours per Resident per Day
2.63854
Expected LPN Staffing Hours per Resident per Day
0.68725
Expected RN Staffing Hours per Resident per Day
0.90531
Expected Total Nurse Staffing Hours per Resident per Day
4.23110
Adjusted CNA Staffing Hours per Resident per Day
2.35733
Adjusted LPN Staffing Hours per Resident per Day
0.43865
Adjusted RN Staffing Hours per Resident per Day
0.55672
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40360
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-12-23
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-20
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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GRAND ISLAND NE 68803 | 13.5 miles away
Golden Livingcenter - Grand Island Lakeview
1405 West Hwy 34 |
GRAND ISLAND NE 68801 | 13.8 miles away
Chi Health St Francis
2116 West Faidley Avenue |
GRAND ISLAND NE 68803 | 14.1 miles away
Golden Livingcenter - Grand Island Park Place
610 North Darr Avenue |
GRAND ISLAND NE 68803 | 14.1 miles away
Wedgewood Care Center
800 Stoeger Drive |
GRAND ISLAND NE 68803 | 14.1 miles away
Good Samaritan Society - Grand Island Village
4061 Timberline Street & 4055 Timberline Street |
GRAND ISLAND NE 68803 | 15.2 miles away
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