Good Samaritan Society – Fairlawn Village
Good Samaritan Society – Fairlawn Village Information
| Facility Name | Good Samaritan Society - Fairlawn Village |
| Location | 3457 Ne Division Street, Gresham, OR 97030 |
| County (SSA Code) | Multnomah (250) |
| Phone Number | 503-667-1965 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 82 |
| Average Number of Residents | 59.8 |
| 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 | 1976-06-14 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.38535 |
| Reported LPN Staffing Hours per Resident per Day | 0.35762 |
| Reported RN Staffing - Hours per Resident per Day | 0.87222 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.22984 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.6152 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.12154 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.09969 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.71134 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.33217 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.1432 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.68125 |
| Total Weighted Health Survey Score for three cycles | 58 |
| Rating cycle 1 Standard Survey Health Date | 2020-01-21 |
| Rating cycle 1 - Health Deficiency Score | 15 |
| Rating cycle 1 - Total Health Inspection Score | 8 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-05-14 |
| Rating cycle 2 - Health Deficiency Score | 8 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-02-27 |
| Rating cycle 3 - Health Deficiency Score | 32 |
| Rating cycle 3 - Total Health Inspection Score | 32 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 4 |
| Number of Substantiated Complaints | 4 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 6500 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |