Good Samaritan Society – Fontanelle
Good Samaritan Society – Fontanelle Information
| Facility Name | Good Samaritan Society - Fontanelle |
| Location | 326 Summerset Box 38, Fontanelle, IA 50846 |
| County (SSA Code) | Adair (0) |
| Phone Number | 641-745-4191 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 46 |
| Average Number of Residents | 40.5 |
| 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 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1994-12-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.85942 |
| Reported LPN Staffing Hours per Resident per Day | 0.66003 |
| Reported RN Staffing - Hours per Resident per Day | 0.61457 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.27459 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.13401 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.00849 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.89338 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.64388 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.35355 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.89081 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.4564 |
| Total Weighted Health Survey Score for three cycles | 37.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-15 |
| Rating cycle 1 - Health Deficiency Score | 7 |
| Rating cycle 1 - Total Health Inspection Score | 48 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-05-03 |
| Rating cycle 2 - Health Deficiency Score | 48 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-03-02 |
| Rating cycle 3 - Health Deficiency Score | 8 |
| Rating cycle 3 - Total Health Inspection Score | 8 |
| 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 |