Overall Rating
Address
1325 Rockport Rd
Boonville, IN 47601
Contact
8128974114
Certification Date
2000-11-08
CMS Certification Number
155682
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Average Number of Residents per Day
49.3
Provider Type
Medicare and Medicaid
Legal Business Name
GOOD SAMARITAN HOSPITAL
Affiliated Entity Name
TRILOGY HEALTH SERVICES
Affiliated Entity ID
524
Health Inspection Rating
3
Quality Measure Rating
3
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
1.66809
Reported LPN Staffing Hours per Resident per Day
0.65459
Reported RN Staffing Hours per Resident per Day
0.64242
Reported Total Nurse Staffing Hours per Resident per Day
2.96510
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.50033
Registered Nurse Hours per Resident per Day on the Weekend
0.28204
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04304
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
32.667
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Citations from Infection Control Inspections
1
Standard Health Survey Date
2023-06-09
Total Number of Health Deficiencies
10
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
3
Health Deficiency Score
40
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
40
Standard Health Survey Date
2021-10-29
Total Number of Health Deficiencies
4
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
1
Health Deficiency Score
24
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
24
Standard Health Survey Date
2019-07-12
Total Number of Health Deficiencies
4
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
0
Health Deficiency Score
28
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
28
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0