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Lutheran Home Of The Good Shepherd

Summary: Lutheran Home Of The Good Shepherd is located in New Rockford, North Dakota. It was first approved by Medicare and Medicaid to provide nursing home services on 1978-05-01. It currently has 74 certified beds and 69 residents in the certified beds. Lutheran Home Of The Good Shepherd earned a 3-star overall rating in the lasted Medicare and Medicaid Health Inspections (2015-08-01) [1]. See following table for more details.

Information of Lutheran Home Of The Good Shepherd

Nursing Home Profile
Address 1226 1ST AVE N, New Rockford, ND 58356
Phone 701-947-2944
Number Certified Beds / Residents in Certified Beds 74 / 69
Certification Medicare and Medicaid
Ratings
Overall Rating ★★★ ☆☆ (3)  
Health Inspection Rating ★★★ ☆☆ (3)
Quality Rating ☆☆☆☆ (1)
Staffing Rating ★★★★ (4)
RN Staffing Rating ★★★★ (4)
Staff and Nurse Hour Statistics
Reported CNA Staffing Hours per Resident per Day 2.47029
Reported LPN Staffing Hours per Resident per Day 0.77536
Reported RN Staffing Hours per Resident per Day 0.63913
Reported Licensed Staffing Hours per Resident per Day 1.41449
Reported Total Nurse Staffing Hours per Resident per Day 3.88478
Reported Physical Therapist Staffing Hours per Resident Per Day 0.01377
Expected CNA Staffing Hours per Resident per Day 2.29331
Expected LPN Staffing Hours per Resident per Day 0.58528
Expected RN Staffing Hours per Resident per Day 0.85925
Expected Total Nurse Staffing Hours per Resident per Day 3.73783
Adjusted CNA Staffing Hours per Resident per Day 2.64306
Adjusted LPN Staffing Hours per Resident per Day 1.09956
Adjusted RN Staffing Hours per Resident per Day 0.55579
Adjusted Total Nurse Staffing Hours per Resident per Day 4.18937
Notes: CNA=Certified nurse attendant;   LPN=Licensed practical nurse
Health Deficiencies & Scores
Cycle 1 Total Number of Health Deficiencies 11
Cycle 1 Number of Standard Health Deficiencies 11
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 48
Cycle 1 Standard Survey Health Date 2015-01-22
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 48
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Number of Complaint Health Deficiencies 4
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Survey Health Date 2014-01-30
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 12
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Number of Complaint Health Deficiencies 0
Cycle 3 Health Deficiency Score 12
Cycle 3 Standard Survey Health Date 2013-02-07
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 2 Total Health Score 12
Total Weighted Health Survey Score 30.000
Complaints, Fines & Penalties
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 0
Number of Fines 0
Total Amount of Fines in Dollars 0
Number of Payment Denials 0
Total Number of Penalties 0
Facility Information
Ownership Non profit - Corporation
Date First Approved to Provide Medicare and Medicaid 1978-05-01
Provider Resides in Hospital NO
Continuing Care Retirement Community N
Special Focus Facility N
Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Processing Date 2015-08-01

Ownership Information

Owner NameOwner RoleOwner Type%
Lutheran Home Of The Good ShepherdOperational/managerial ControlOrganizationn/a
Jensrud, KimOperational/managerial ControlIndividualn/a
Allmaras, DianneDirectorIndividualn/a
Anderson, JanineDirectorIndividualn/a
Bollingberg, JohnDirectorIndividualn/a
Galt, JeffreyDirectorIndividualn/a
Jones, ElviDirectorIndividualn/a
Kruger, StanleyDirectorIndividualn/a
Peterson, TravisDirectorIndividualn/a
Gedrose, BruceOfficerIndividualn/a
Henningsgard, TracyOfficerIndividualn/a
Lutz, LonaOfficerIndividualn/a
Nystrom, SandraOfficerIndividualn/a