Good Samaritan Society – Park River
Good Samaritan Society – Park River Information
| Facility Name | Good Samaritan Society - Park River |
| Location | 301 South County Road 12b, Park River, ND 58270 |
| County (SSA Code) | Walsh (490) |
| Phone Number | 701-284-7115 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 54 |
| Average Number of Residents | 45.7 |
| 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 | 1984-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.92933 |
| Reported LPN Staffing Hours per Resident per Day | 0.55294 |
| Reported RN Staffing - Hours per Resident per Day | 0.82921 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.38215 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.31148 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.00024 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.91764 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.60909 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.25733 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.78407 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.93731 |
| Total Weighted Health Survey Score for three cycles | 26.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-11-21 |
| Rating cycle 1 - Health Deficiency Score | 7 |
| Rating cycle 1 - Total Health Inspection Score | 24 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-10-31 |
| Rating cycle 2 - Health Deficiency Score | 24 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-18 |
| Rating cycle 3 - Health Deficiency Score | 4 |
| Rating cycle 3 - Total Health Inspection Score | 4 |
| 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 |