Overall Rating
Address
8100 Medicine Lake Road
New Hope, MN 55427
Contact
7634177130
Certification Date
1968-02-26
CMS Certification Number
245149
Ownership Type
Non profit - Corporation
Number of Certified Beds
77
Average Number of Residents per Day
74.8
Provider Type
Medicare and Medicaid
Legal Business Name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Affiliated Entity Name
EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Affiliated Entity ID
214
Health Inspection Rating
4
Quality Measure Rating
5
Staffing Rating
5
Reported Nurse Aide Staffing Hours per Resident per Day
2.45439
Reported LPN Staffing Hours per Resident per Day
0.49371
Reported RN Staffing Hours per Resident per Day
1.64025
Reported Total Nurse Staffing Hours per Resident per Day
4.58835
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.90469
Registered Nurse Hours per Resident per Day on the Weekend
1.21493
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24829
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
22.000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-03-16
Total Number of Health Deficiencies
2
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
0
Health Deficiency Score
8
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
8
Standard Health Survey Date
2022-03-31
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
1
Health Deficiency Score
44
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
44
Standard Health Survey Date
2020-03-05
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
0
Health Deficiency Score
20
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
20
Number of Fines
1
Total Amount of Fines in Dollars
9750.00
Number of Payment Denials
0
Total Number of Penalties
1