Nebraska Nursing Homes >> Wymore Nursing Homes >> Good Samaritan Society - Wymore

Good Samaritan Society - Wymore - Wymore Nursing Home

General Information

UPDATE
Federal Provider Number
285195
Provider Name
GOOD SAMARITAN SOCIETY - WYMORE
Provider Address
105 EAST D STREET
WYMORE, NE 68466
Provider Phone Number
4026453355
Provider SSA County
330
Provider County Name
Gage
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
35
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
1996-08-01
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
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.03000
Reported LPN Staffing Hours per Resident per Day
1.03857
Reported RN Staffing Hours per Resident per Day
0.59429
Reported Licensed Staffing Hours per Resident per Day
1.63286
Reported Total Nurse Staffing Hours per Resident per Day
3.66286
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05857
Expected CNA Staffing Hours per Resident per Day
2.32944
Expected LPN Staffing Hours per Resident per Day
0.58588
Expected RN Staffing Hours per Resident per Day
0.96851
Expected Total Nurse Staffing Hours per Resident per Day
3.88383
Adjusted CNA Staffing Hours per Resident per Day
2.13829
Adjusted LPN Staffing Hours per Resident per Day
1.47130
Adjusted RN Staffing Hours per Resident per Day
0.45849
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80156
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-11-20
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
9
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

Good Samaritan Society - Beatrice

401 S 22nd Street | BEATRICE NE 68310 | 10.5 miles away

Beatrice Health And Rehabilitation

1800 Irving Street | BEATRICE NE 68310 | 11.7 miles away

Gold Crest Retirement Center

200 Levi Lane | ADAMS NE 68301 | 24.2 miles away

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