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Detailed information-GOOD SAMARITAN SOCIETY-PRESCOTT VALLEY
This is the detailed information about GOOD SAMARITAN SOCIETY-PRESCOTT VALLEY, including its zip code, address, phone, federal provider number, state, overall rating, etc.
Federal Provider Number: 035244
Provider Name: GOOD SAMARITAN SOCIETY-PRESCOTT VALLEY
Provider State: AZ
Provider Zip Code: 86314
Ownership Type: Non profit - Church related
Number of Substantiated Complaints: 2
Provider Phone Number: 9287750045
Provider City: PRESCOTT VALLEY
Provider SSA County Code: 120
Provider County Name: Yavapai
Provider Address: 3380 NORTH WINDSONG DRIVE
Number of Certified Beds: 80
Number of Residents in Certified Beds: 52.7
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Legal Business Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid services: 1997-10-14
Continuing Care Retirement Community: N
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N
Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Reported Staffing Footnote:
Physical Therapist Staffing Footnote:
Reported CNA Staffing Hours per Resident per Day: 2.07034
Reported LPN Staffing Hours per Resident per Day: 0.22025
Reported RN Staffing Hours per Resident per Day: 1.55986
Reported Licensed Staffing Hours per Resident per Day: 1.78011
Reported Total Nurse Staffing Hours per Resident per Day: 3.85045
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.18492
Expected CNA Staffing Hours per Resident per Day: 1.91516
Expected LPN Staffing Hours per Resident per Day: 0.80096
Expected RN Staffing Hours per Resident per Day: 0.39398
Expected Total Nurse Staffing Hours per Resident per Day: 3.11010
Adjusted CNA Staffing Hours per Resident per Day: 2.25853
Adjusted LPN Staffing Hours per Resident per Day: 0.20867
Adjusted RN Staffing Hours per Resident per Day: 1.50618
Adjusted Total Nurse Staffing Hours per Resident per Day: 3.99705
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 11/15/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 2
Total Weighted Health Survey Score: 24.000
Number of Facility Reported Incidents: 0
Number of Fines: 0
Total Amount of Fines in Dollars: 0
Number of Payment Denials: 0
Total Number of Penalties: 0
Processing Date: 2018-04-01