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Good Samaritan Society - International Falls

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 54
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 09/02/2011

Date of last standard health inspection: 09/02/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in MN: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MN: 0 - 11

Inspection, 02/00/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/00/2009 03/00/2010 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/00/2009 03/00/2010 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 02/00/2009 03/00/2010 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/00/2009 03/00/2010 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/00/2009 03/00/2010 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/00/2009 03/00/2010 2 Few
Ensure residents maintain acceptable nutritional status. 02/00/2009 03/00/2010 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/00/2009 03/00/2010 2 Few

Inspection, 00/02/2009

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 00/02/2009 01/02/2010 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/02/2009 01/02/2010 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/02/2009 01/02/2010 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 00/02/2009 01/02/2010 2 Few
Ensure residents maintain acceptable nutritional status. 00/02/2009 01/02/2010 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/02/2009 01/02/2010 2 Few
Review or revise the resident's care plan after any major change in physical or mental health. 00/02/2009 01/02/2010 2 Few
Assure that each resident 00/02/2009 01/02/2010 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/02/2009 01/02/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to self-administer drugs if determined safe. 00/02/2009 01/02/2010 2 Few

Inspection, 02/04/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/04/2006 00/01/2007 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/04/2006 00/03/2008 1 Many
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/04/2006 00/01/2007 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 02/04/2006 00/03/2008 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/04/2006 00/03/2008 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/04/2006 00/03/2008 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/04/2006 00/01/2007 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/04/2006 00/03/2008 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/04/2006 00/03/2008 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/04/2006 00/03/2008 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 02/04/2006 00/03/2008 2 Some

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in MN Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 72 56
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 23 hours 57 minutes 1 hour 29 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 23 hours 13 minutes 35 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 23 hours 12 minutes 54 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 24 hours 51 minutes 2 hours 16 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 09/06/2011

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 09/06/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in MN: 2
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in MN: 0 - 2

Inspection, 02/00/2009

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/00/2009 01/01/2010 1 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 02/00/2009 01/01/2010 2 Many

Inspection, 00/06/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/06/2009 01/05/2009 1 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 00/06/2009 01/02/2010 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/06/2009 01/02/2010 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 00/06/2009 01/02/2010 1 Many

Inspection, 02/01/2006

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/01/2006 02/04/2006 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/01/2006 02/08/2006 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 02/01/2006 00/03/2008 1 Many
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 02/01/2006 02/04/2006 2 Many
 

1402 Highway 71
International Falls, MN 56649

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