Stafholt Good Samaritan Center - Blaine Nursing Home
General Information
UPDATEFederal Provider Number
505395
Provider Name
STAFHOLT GOOD SAMARITAN CENTER
Provider Address
456 C STREET
BLAINE, WA 98230
BLAINE, WA 98230
Provider Phone Number
3603328733
Provider SSA County
360
Provider County Name
Whatcom
Ownership Type
Non profit - Church related
Number of Certified Beds
57
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
1991-09-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.89434
Reported LPN Staffing Hours per Resident per Day
0.58774
Reported RN Staffing Hours per Resident per Day
1.07642
Reported Licensed Staffing Hours per Resident per Day
1.66415
Reported Total Nurse Staffing Hours per Resident per Day
4.55850
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09811
Expected CNA Staffing Hours per Resident per Day
2.55645
Expected LPN Staffing Hours per Resident per Day
0.59667
Expected RN Staffing Hours per Resident per Day
0.86831
Expected Total Nurse Staffing Hours per Resident per Day
4.02143
Adjusted CNA Staffing Hours per Resident per Day
2.77801
Adjusted LPN Staffing Hours per Resident per Day
0.81758
Adjusted RN Staffing Hours per Resident per Day
0.92628
Adjusted Total Nurse Staffing Hours per Resident per Day
4.56924
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-11-01
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
2975
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Christian Health Care Center
855 Aaron Drive |
LYNDEN WA 98264 | 14.2 miles away
North Cascades Health And Rehabilitation Center
4680 Cordata Parkway |
BELLINGHAM WA 98226 | 17.3 miles away
Alderwood Park Health And Rehabilitation
2726 Alderwood Avenue |
BELLINGHAM WA 98225 | 18.8 miles away
Avamere Bellingham Health Care & Rehab Services
1200 Birchwood Avenue |
BELLINGHAM WA 98225 | 19.4 miles away
St Francis Of Bellingham
3121 Squalicum Parkway |
BELLINGHAM WA 98225 | 20.1 miles away
Shuksan Healthcare Center
1530 James Street |
BELLINGHAM WA 98225 | 21.5 miles away
Mt Baker Care Center
2905 Connelly Avenue |
BELLINGHAM WA 98225 | 23.2 miles away
Highland Health And Rehabilitation
2400 Samish Way |
BELLINGHAM WA 98225 | 23.8 miles away
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