Good Samaritan Society – Moscow Village
Good Samaritan Society – Moscow Village Information
| Facility Name | Good Samaritan Society - Moscow Village |
| Location | 640 North Eisenhower Street, Moscow, ID 83843 |
| County (SSA Code) | Latah (280) |
| Phone Number | 208-882-6560 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 64 |
| Average Number of Residents | 40.8 |
| 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 | For profit - Corporation |
| Date First Approved | 1977-06-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.53914 |
| Reported LPN Staffing Hours per Resident per Day | 0.61057 |
| Reported RN Staffing - Hours per Resident per Day | 0.8067 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.41727 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.95642 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.10056 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.01668 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.69916 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.32184 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.03768 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.15245 |
| Total Weighted Health Survey Score for three cycles | 28.667 |
| Rating cycle 1 Standard Survey Health Date | 2020-02-06 |
| Rating cycle 1 - Health Deficiency Score | 8 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-17 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-18 |
| Rating cycle 3 - Health Deficiency Score | 4 |
| Rating cycle 3 - Total Health Inspection Score | 4 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |