Good Samaritan Ambassador
Good Samaritan Ambassador Information
| Facility Name | Good Samaritan Ambassador |
| Location | 8100 Medicine Lake Road, New Hope, MN 55427 |
| County (SSA Code) | Hennepin (260) |
| Phone Number | 763-544-4171 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 77 |
| Average Number of Residents | 71.2 |
| 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 - Corporation |
| Date First Approved | 1968-02-26 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.28044 |
| Reported LPN Staffing Hours per Resident per Day | 0.20204 |
| Reported RN Staffing - Hours per Resident per Day | 2.39738 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.59942 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.87986 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.10891 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.13535 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.76776 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.39319 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.2963 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.7198 |
| Total Weighted Health Survey Score for three cycles | 21.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-02-28 |
| Rating cycle 1 - Health Deficiency Score | 6 |
| Rating cycle 1 - Total Health Inspection Score | 24 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-03-15 |
| Rating cycle 2 - Health Deficiency Score | 24 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-01-26 |
| 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 |