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Good Samaritan Society Simla


Good Samaritan Society Simla Information

     
Facility Name Good Samaritan Society Simla
Location 320 Pueblo Ave, Simla, CO 80835
County (SSA Code) Elbert (190)
Phone Number 719-541-2269
Certification(s)Medicaid
Number of Beds30
Average Number of Residents28.6
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameLegal Business Name Not Available
Ownership TypeNon profit - Corporation
Date First Approved1991-05-01

Reported Nurse Aide Staffing Hours per Resident per Day1.8945
Reported LPN Staffing Hours per Resident per Day0.19985
Reported RN Staffing - Hours per Resident per Day1.00029
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.20013
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.09464
Case-Mix Nurse Aide Staffing - Hours per Resident per Day1.89767
Case-Mix LPN Staffing - Hours per Resident per Day0.60494
Case-Mix RN Staffing - Hours per Resident per Day0.26024
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)2.76284
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.57106

Total Weighted Health Survey Score for three cycles82.667
Rating cycle 1 Standard Survey Health Date2019-08-15
Rating cycle 1 - Health Deficiency Score7
Rating cycle 1 - Total Health Inspection Score12
Date of Rating cycle 2 Standard Health Survey Date2018-05-31
Rating cycle 2 - Health Deficiency Score12
Date of Rating cycle 3 Standard Health Survey Date2017-01-25
Rating cycle 3 - Health Deficiency Score52
Rating cycle 3 - Total Health Inspection Score52

Number of Facility-Reported Incidents2
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

Data Filing Date2020-10-01
Page Last Updated2020-11-28