Good Samaritan Society – Blackduck
Good Samaritan Society – Blackduck Information
| Facility Name | Good Samaritan Society - Blackduck |
| Location | 172 Summit Avenue West, Blackduck, MN 56630 |
| County (SSA Code) | Beltrami (30) |
| Phone Number | 218-835-3410 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 30 |
| Average Number of Residents | 26.9 |
| 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 - Church related |
| Date First Approved | 1992-04-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.64007 |
| Reported LPN Staffing Hours per Resident per Day | 0.50204 |
| Reported RN Staffing - Hours per Resident per Day | 0.96691 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.46895 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.10902 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.07697 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.11886 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.65151 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.30844 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.07881 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.255 |
| Total Weighted Health Survey Score for three cycles | 52 |
| Rating cycle 1 Standard Survey Health Date | 2019-05-15 |
| Rating cycle 1 - Health Deficiency Score | 7 |
| Rating cycle 1 - Total Health Inspection Score | 40 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-06-07 |
| Rating cycle 2 - Health Deficiency Score | 40 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-03-30 |
| Rating cycle 3 - Health Deficiency Score | 28 |
| Rating cycle 3 - Total Health Inspection Score | 28 |
| 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 |