Good Shepherd Village
Good Shepherd Village Information
| Facility Name | Good Shepherd Village |
| Location | 422 North Burnett Road, Springfield, OH 45503 |
| County (SSA Code) | Clark (110) |
| Phone Number | 937-322-1911 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 81 |
| Average Number of Residents | 72 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | GOOD SHEPHERD VILLAGE LLC |
| Ownership Type | For profit - Individual |
| Date First Approved | 2002-04-06 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.89037 |
| Reported LPN Staffing Hours per Resident per Day | 0.33309 |
| Reported RN Staffing - Hours per Resident per Day | 0.46095 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 0.79405 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.68442 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.03115 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.93884 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.64341 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.28371 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.86595 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.98624 |
| Total Weighted Health Survey Score for three cycles | 61.333 |
| Rating cycle 1 Standard Survey Health Date | 2020-01-23 |
| Rating cycle 1 - Health Deficiency Score | 9 |
| Rating cycle 1 - Total Health Inspection Score | 60 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-12-06 |
| Rating cycle 2 - Health Deficiency Score | 60 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-11-02 |
| Rating cycle 3 - Health Deficiency Score | 56 |
| Rating cycle 3 - Total Health Inspection Score | 56 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |