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Good Shepherd Services Ltd


Good Shepherd Services Ltd Information

     
Facility Name Good Shepherd Services Ltd
Location 607 Bronson Rd, Seymour, WI 54165
County (SSA Code) Outagamie (430)
Phone Number 920-833-6856
Certification(s)Medicare and Medicaid
Number of Beds50
Average Number of Residents29.3
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameGOOD SHEPHERD HOME, LTD
Ownership TypeNon profit - Corporation
Date First Approved1994-01-01

Reported Nurse Aide Staffing Hours per Resident per Day3.93137
Reported LPN Staffing Hours per Resident per Day0.18957
Reported RN Staffing - Hours per Resident per Day1.52727
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.71683
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)5.6482
Reported Physical Therapy Staffing - Hours per Resident Per Day0.01747
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.23794
Case-Mix LPN Staffing - Hours per Resident per Day0.67723
Case-Mix RN Staffing - Hours per Resident per Day0.32308
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.23825
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)5.56088

Total Weighted Health Survey Score for three cycles4.667
Rating cycle 1 Standard Survey Health Date2019-07-31
Rating cycle 1 - Total Health Inspection Score12
Date of Rating cycle 2 Standard Health Survey Date2018-08-29
Rating cycle 2 - Health Deficiency Score12
Date of Rating cycle 3 Standard Health Survey Date2017-07-12
Rating cycle 3 - Health Deficiency Score4
Rating cycle 3 - Total Health Inspection Score4

Number of Facility-Reported Incidents0
Number of Substantiated Complaints1
Number of Substantiated Complaints1
Total Number of Penalties0

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