Good Samaritan Society – Stafholt
Good Samaritan Society – Stafholt Information
| Facility Name | Good Samaritan Society - Stafholt |
| Location | 456 C Street, Blaine, WA 98230 |
| County (SSA Code) | Whatcom (360) |
| Phone Number | 360-332-8733 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 57 |
| Average Number of Residents | 43.4 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short 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 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Ownership Type | Non profit - Church related |
| Date First Approved | 1991-09-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.29326 |
| Reported LPN Staffing Hours per Resident per Day | 0.7297 |
| Reported RN Staffing - Hours per Resident per Day | 0.81331 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.54301 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.83626 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.10562 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.1358 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.69412 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.34699 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.17692 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.84987 |
| Total Weighted Health Survey Score for three cycles | 150.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-07 |
| Rating cycle 1 - Health Deficiency Score | 31 |
| Rating cycle 1 - Total Health Inspection Score | 140 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-04-20 |
| Rating cycle 2 - Health Deficiency Score | 140 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-03-13 |
| Rating cycle 3 - Health Deficiency Score | 36 |
| Rating cycle 3 - Total Health Inspection Score | 36 |
| Number of Facility-Reported Incidents | 7 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Number of Fines | 2 |
| Total Amount of Fines (in Dollars) | 53119 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |