Good Samaritan Society – Fort Collins Village
Good Samaritan Society – Fort Collins Village Information
| Facility Name | Good Samaritan Society - Fort Collins Village |
| Location | 508 W Trilby Rd, Fort Collins, CO 80525 |
| County (SSA Code) | Larimer (340) |
| Phone Number | 970-226-4909 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 64 |
| Average Number of Residents | 52.5 |
| CCRC Facility? | Yes |
| 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 | 1986-03-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.25199 |
| Reported LPN Staffing Hours per Resident per Day | 0.10968 |
| Reported RN Staffing - Hours per Resident per Day | 1.81109 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.92076 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.17275 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.06968 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.9549 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.69699 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.31545 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.96734 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.4833 |
| Total Weighted Health Survey Score for three cycles | 14 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-10 |
| Rating cycle 1 - Total Health Inspection Score | 12 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-12-13 |
| Rating cycle 2 - Health Deficiency Score | 12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-11-16 |
| Rating cycle 3 - Health Deficiency Score | 60 |
| Rating cycle 3 - Total Health Inspection Score | 60 |
| 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 |