Good Samaritan Society – Arlington
Good Samaritan Society – Arlington Information
| Facility Name | Good Samaritan Society - Arlington |
| Location | 411 Seventh Avenue Northwest, Arlington, MN 55307 |
| County (SSA Code) | Sibley (710) |
| Phone Number | 507-964-2251 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 27 |
| Average Number of Residents | 16.9 |
| 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 | Both |
| Provider Business Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1991-10-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.27396 |
| Reported LPN Staffing Hours per Resident per Day | 0.90727 |
| Reported RN Staffing - Hours per Resident per Day | 1.45046 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.35772 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.63168 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.03949 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.89616 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.73459 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.37265 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.0034 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.91665 |
| Total Weighted Health Survey Score for three cycles | 68 |
| Rating cycle 1 Standard Survey Health Date | 2019-10-18 |
| Rating cycle 1 - Health Deficiency Score | 5 |
| Rating cycle 1 - Total Health Inspection Score | 84 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-12-19 |
| Rating cycle 2 - Health Deficiency Score | 56 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-05 |
| Rating cycle 3 - Health Deficiency Score | 84 |
| Rating cycle 3 - Total Health Inspection Score | 84 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 2 |
| Number of Substantiated Complaints | 2 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 31574 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |