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Good Samaritan Society - Bismarck

Summary: Good Samaritan Society - Bismarck is located in Bismarck, North Dakota. It was first approved by Medicare and Medicaid to provide nursing home services on 2010-06-09. It currently has 48 certified beds and 47 residents in the certified beds. Good Samaritan Society - Bismarck 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 Good Samaritan Society - Bismarck

Nursing Home Profile
Address 301 LORRAIN DRIVE, Bismarck, ND 58503
Phone 701-255-1084
Number Certified Beds / Residents in Certified Beds 48 / 47
Certification Medicare and Medicaid
Ratings
Overall Rating ★★★ ☆☆ (3)  
Health Inspection Rating ★★ ☆☆☆ (2)
Quality Rating ★★★★ (4)
Staffing Rating ★★★★★ (5)
RN Staffing Rating ★★★★★ (5)
Staff and Nurse Hour Statistics
Reported CNA Staffing Hours per Resident per Day 2.98511
Reported LPN Staffing Hours per Resident per Day 0.67128
Reported RN Staffing Hours per Resident per Day 1.16915
Reported Licensed Staffing Hours per Resident per Day 1.84043
Reported Total Nurse Staffing Hours per Resident per Day 4.82554
Reported Physical Therapist Staffing Hours per Resident Per Day 0.11383
Expected CNA Staffing Hours per Resident per Day 2.27904
Expected LPN Staffing Hours per Resident per Day 0.56549
Expected RN Staffing Hours per Resident per Day 0.84607
Expected Total Nurse Staffing Hours per Resident per Day 3.69060
Adjusted CNA Staffing Hours per Resident per Day 3.21389
Adjusted LPN Staffing Hours per Resident per Day 0.98527
Adjusted RN Staffing Hours per Resident per Day 1.03252
Adjusted Total Nurse Staffing Hours per Resident per Day 5.27049
Notes: CNA=Certified nurse attendant;   LPN=Licensed practical nurse
Health Deficiencies & Scores
Cycle 1 Total Number of Health Deficiencies 10
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Number of Complaint Health Deficiencies 10
Cycle 1 Health Deficiency Score 60
Cycle 1 Standard Survey Health Date 2015-02-19
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 60
Cycle 2 Total Number of Health Deficiencies 6
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Number of Complaint Health Deficiencies 0
Cycle 2 Health Deficiency Score 32
Cycle 2 Standard Survey Health Date 2014-03-05
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 32
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Number of Complaint Health Deficiencies 0
Cycle 3 Health Deficiency Score 36
Cycle 3 Standard Survey Health Date 2013-03-07
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 2 Total Health Score 36
Total Weighted Health Survey Score 46.667
Complaints, Fines & Penalties
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 4
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 2010-06-09
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%
The Evangelical Lutheran Good Samaritan Society5% Or Greater Direct Ownership InterestOrganization100%
Connelly, LianeDirectorIndividualn/a
Curtis, ConnieDirectorIndividualn/a
Deuth, MichaelDirectorIndividualn/a
Gard, AlanDirectorIndividualn/a
Grindal, HaraldDirectorIndividualn/a
Gulsvig, NeilDirectorIndividualn/a
Halaas, GwenDirectorIndividualn/a
Hildebrandt, TeresaDirectorIndividualn/a
Holt, JohnDirectorIndividualn/a
Matson, GuyDirectorIndividualn/a
Racek, JohnDirectorIndividualn/a
Samuelson, PhilipDirectorIndividualn/a
St Mary, SharonDirectorIndividualn/a
Stene, DennisDirectorIndividualn/a
Trout, CarlaDirectorIndividualn/a
Gause, SylviaOfficerIndividualn/a
Ham-quick, MistyOfficerIndividualn/a
Herdina, JosephOfficerIndividualn/a
Horazdovsky, DavidOfficerIndividualn/a
Peterson, BergenOfficerIndividualn/a
Tribble, GeorgeOfficerIndividualn/a
Elsperger, AnthonyManaging EmployeeIndividualn/a
Scharnberg, MarkManaging EmployeeIndividualn/a