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 Beds | 57 |
| Average Number of Residents | 42 |
| 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 | Resident |
| Provider Business Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Ownership Type | Non profit - Church related |
| Date First Approved | 1991-02-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.67629 |
| Reported LPN Staffing Hours per Resident per Day | 0.52346 |
| Reported RN Staffing - Hours per Resident per Day | 0.56848 |
| 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 Day | 1.89418 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.62009 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.25475 |
| 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 cycles | 43.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-05-22 |
| Rating cycle 1 - Health Deficiency Score | 6 |
| Rating cycle 1 - Total Health Inspection Score | 60 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-06-07 |
| Rating cycle 2 - Health Deficiency Score | 60 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-04-05 |
| Rating cycle 3 - Health Deficiency Score | 56 |
| Rating cycle 3 - Total Health Inspection Score | 56 |
| 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 |