Good Samaritan Society – Mountain Lake
Good Samaritan Society – Mountain Lake Information
| Facility Name | Good Samaritan Society - Mountain Lake |
| Location | 745 Basinger Memorial Drive, Mountain Lake, MN 56159 |
| County (SSA Code) | Cottonwood (160) |
| Phone Number | 507-427-2464 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 53 |
| Average Number of Residents | 45 |
| 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 | 1991-02-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.37863 |
| Reported LPN Staffing Hours per Resident per Day | 0.65481 |
| Reported RN Staffing - Hours per Resident per Day | 0.95253 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.60734 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.98597 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.02482 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.99111 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.62519 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.25723 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.87353 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.42243 |
| Total Weighted Health Survey Score for three cycles | 38 |
| Rating cycle 1 Standard Survey Health Date | 2020-02-21 |
| Rating cycle 1 - Health Deficiency Score | 4 |
| Rating cycle 1 - Total Health Inspection Score | 48 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-12-06 |
| Rating cycle 2 - Health Deficiency Score | 48 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-05 |
| Rating cycle 3 - Health Deficiency Score | 24 |
| Rating cycle 3 - Total Health Inspection Score | 24 |
| Number of Facility-Reported Incidents | 2 |
| 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 |