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Good Samaritan Society – Mohall


Good Samaritan Society – Mohall Information

     
Facility Name Good Samaritan Society - Mohall
Location 602 E Main St, Mohall, ND 58761
County (SSA Code) Renville (370)
Phone Number 701-756-6831
Certification(s)Medicare and Medicaid
Number of Beds57
Average Number of Residents42
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Prodvider Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Ownership TypeNon profit - Church related
Date First Approved1991-02-01

Reported Nurse Aide Staffing Hours per Resident per Day2.67629
Reported LPN Staffing Hours per Resident per Day0.52346
Reported RN Staffing - Hours per Resident per Day0.56848
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.09194
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.76823
Case-Mix Nurse Aide Staffing - Hours per Resident per Day1.89418
Case-Mix LPN Staffing - Hours per Resident per Day0.62009
Case-Mix RN Staffing - Hours per Resident per Day0.25475
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)2.76902
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.33865

Total Weighted Health Survey Score for three cycles43.333
Rating cycle 1 Standard Survey Health Date2019-05-22
Rating cycle 1 - Health Deficiency Score6
Rating cycle 1 - Total Health Inspection Score60
Date of Rating cycle 2 Standard Health Survey Date2018-06-07
Rating cycle 2 - Health Deficiency Score60
Date of Rating cycle 3 Standard Health Survey Date2017-04-05
Rating cycle 3 - Health Deficiency Score56
Rating cycle 3 - Total Health Inspection Score56

Number of Facility-Reported Incidents0
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

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