Good Samaritan Society – Mott
Good Samaritan Society – Mott Information
| Facility Name | Good Samaritan Society - Mott |
| Location | 401 Millionaire Ave, Mott, ND 58646 |
| County (SSA Code) | Hettinger (200) |
| Phone Number | 701-824-3222 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 42 |
| Average Number of Residents | 37.5 |
| 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 | 1991-02-05 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.58021 |
| Reported LPN Staffing Hours per Resident per Day | 0.4102 |
| Reported RN Staffing - Hours per Resident per Day | 0.73161 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.14181 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.72202 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.00369 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.99657 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.59194 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.28447 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.87298 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.13038 |
| Total Weighted Health Survey Score for three cycles | 18.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-15 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 12 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-26 |
| Rating cycle 2 - Health Deficiency Score | 12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-06-08 |
| 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 |