GOOD SAMARITAN VILLAGE - MOUNTAIN LAKE, MN

United States hospital / nursing home:
GOOD SAMARITAN VILLAGE - MOUNTAIN LAKE, MN

GOOD SAMARITAN VILLAGE
745 BASINGER MEMORIAL DRIVE
MOUNTAIN LAKE, MN 56159


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)

Services provided by GOOD SAMARITAN VILLAGE:

  • Activities services are provided onsite to residents
  • Administration and storage of blood services are provided offsite to residents
  • Clinical laboratory services are provided offsite to residents
  • Dental services are provided offsite to residents
  • Dental services are provided onsite to residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite to residents
  • Mental health services are provided offsite to residents
  • Mental health services are provided onsite to residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided offsite to residents
  • Occupational therapy services are provided onsite to non residents
  • Occupational therapy services are provided onsite to residents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Pharmacy services are provided onsite to residents
  • Physician extender services are provided offsite to residents
  • Physician extender services are provided onsite to residents
  • Physical therapy services are provided offsite to residents
  • Physical therapy services are provided onsite to non residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided offsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided offsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided offsite to residents
  • Speech/language pathology services are provided onsite to non residents
  • Speech/language pathology services are provided onsite to residents
  • Diagnostic xray services are provided offsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 75

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 75

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 5.59

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.57

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 3.50

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 75

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 5.37

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 22.63

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.10

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 2.47

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 7.34

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 6.24

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 4.96

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.01

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.03

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): THE EVANGELICAL LUTHERAN GOOD SAM SOCI

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes

Nurses with admin duties-Full time (The number of full-time equivalent nurses with administrative duties employed by a facility on a full time basis): 2.09

Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 0.57

Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 0.39

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.16

Organized family group (Indicates if the facility has an organized group of family members of residents): Yes

Organized resident group (Indicates if the facility has an organized residents group): Yes

Other - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 2.76

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 2.26

Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.07

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.06

Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 0.57

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.64

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.99

Rn director of nursing - Part time (The number of full-time equivalent rn director of nursing employed by a facility on a part time basis): 0.91

Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 1.31

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.14

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Jul 2002

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Feb 1991