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GOOD SAMARITAN SOCIETY - WINDOM

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GOOD SAMARITAN SOCIETY - WINDOM VS
All other Nursing Homes USA
General
City WINDOM   vs 0% Nursing Homes USA have WINDOM
State attribute explanation MN   vs 2.4% Nursing Homes USA have MN
Street 705 SIXTH STREET  
Zip Code 56101  
Phone 5078311788  
Overall Star Rating
(1.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(1.69 higher than average)
vs
3.31

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds
78  (30.94 lower than average)
vs
108.94

Total Number of Residents
76  (15.25 lower than average)
vs
91.25

Percent of Occupied Beds
97 % (13.35 % higher than average)
vs
83.65 %

Health Survey Date 11/17/2011  
Fire Survey Date 11/17/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  vs 31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(4.48 lower than average)
vs
7.48

Staff Information
Number of Residents
76  (15.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.91  (0.14 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.15  (0.69 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.06  (0.53 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 lower than average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 05/28/2009
date Of Correction: 07/03/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/28/2009
date Of Correction: 07/03/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 05/28/2009
date Of Correction: 07/03/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
12.5 % (12.59 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 10.7:1 % 
Percent of long-stay high-risk residents with pressure ulcers
75.2 % (62.62 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
2.8 % (9.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
37.8 % (6.74 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 % (11.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.9 % (6.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 13.9 / 15.3 % 
Percent of long-stay residents who were physically restrained
2.8 % (40.88 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
75 % (9.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
61.5 % (22.44 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
2.8 % (12.72 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
16.7 % (8.69 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
10.9 % (3.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
75.2 % (65.98 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
3.8 % (4.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
38 % (5.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.2 % (6.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
3.8 % (5.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
19.2 % (0.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.9 % (36.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.9 % (7.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
20.3 % (4.46 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.5 % (1.06 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
63.3 % (11.45 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.9 % (15.44 % lower than average)
vs
17.34 %



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