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Good Samaritan Society – Windom


Good Samaritan Society – Windom Information

     
Facility Name Good Samaritan Society - Windom
Location 705 Sixth Street, Windom, MN 56101
County (SSA Code) Cottonwood (160)
Phone Number 507-831-1788
Certification(s)Medicare and Medicaid
Number of Beds72
Average Number of Residents61.1
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Ownership TypeNon profit - Corporation
Date First Approved1991-05-01

Reported Nurse Aide Staffing Hours per Resident per Day2.32741
Reported LPN Staffing Hours per Resident per Day0.42632
Reported RN Staffing - Hours per Resident per Day0.84171
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.26804
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.59545
Reported Physical Therapy Staffing - Hours per Resident Per Day0.04009
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.21819
Case-Mix LPN Staffing - Hours per Resident per Day0.64804
Case-Mix RN Staffing - Hours per Resident per Day0.304
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.17022
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.61582

Total Weighted Health Survey Score for three cycles76
Rating cycle 1 Standard Survey Health Date2019-06-28
Rating cycle 1 - Health Deficiency Score12
Rating cycle 1 - Total Health Inspection Score100
Date of Rating cycle 2 Standard Health Survey Date2018-08-10
Rating cycle 2 - Health Deficiency Score100
Date of Rating cycle 3 Standard Health Survey Date2017-07-27
Rating cycle 3 - Health Deficiency Score28
Rating cycle 3 - Total Health Inspection Score28

Number of Facility-Reported Incidents0
Number of Substantiated Complaints2
Number of Substantiated Complaints2
Number of Fines1
Total Amount of Fines (in Dollars)8957
Total Number of Penalties1

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