Good Samaritan Society – Pine River
Good Samaritan Society – Pine River Information
| Facility Name | Good Samaritan Society - Pine River |
| Location | 518 Jefferson Avenue, Po Box 29, Pine River, MN 56474 |
| County (SSA Code) | Cass (100) |
| Phone Number | 218-587-4423 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 33 |
| Average Number of Residents | 29.3 |
| 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 | 1987-05-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.2234 |
| Reported LPN Staffing Hours per Resident per Day | 1.0222 |
| Reported RN Staffing - Hours per Resident per Day | 1.14425 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.16645 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.38985 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.02174 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.25798 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.68083 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.30057 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.23938 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.32046 |
| Total Weighted Health Survey Score for three cycles | 45.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-11-07 |
| Rating cycle 1 - Health Deficiency Score | 2 |
| Rating cycle 1 - Total Health Inspection Score | 84 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-03-21 |
| Rating cycle 2 - Health Deficiency Score | 84 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-06-28 |
| Rating cycle 3 - Health Deficiency Score | 44 |
| Rating cycle 3 - Total Health Inspection Score | 44 |
| 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 |