Good Samaritan Society - Devils Lake

302 7TH AVE NE
Devils Lake, ND 58301
(701) 662-6580
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 62
Number of Residents: 50
Percent of Occupied Beds: 81%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 2 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 3 Star Quality Measures Rating
RN Only: 4 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20081218 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Minimal harm or potential for actual harm 20090201
20081218 Health Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern Minimal harm or potential for actual harm 20090201
20081218 Health Resident Assessment Deficiencies Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. Isolated Actual harm 20090201
20081218 Health Administration Deficiencies Give or get x-rays and other tests to meet the needs of residents. Isolated Minimal harm or potential for actual harm 20090201
20091008 Health Resident Rights Deficiencies Listen to the resident or family groups or act on their complaints or suggestions. Pattern Minimal harm or potential for actual harm 20091122
20091008 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20091122
20091008 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20091122
20091008 Health Nutrition and Dietary Deficiencies Offer other nutritional food to each resident who will not eat the food served. Pattern Potential for minimal harm 20091122
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 94
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 86
Percent of long-stay residents whose need for help with daily activities has increased: 18
Percent of long-stay residents who have moderate to severe pain: 6
Percent of high-risk long-stay residents who have pressure sores: 6
Percent of low-risk long-stay residents who have pressure sores: Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.
Percent of long-stay residents who were physically restrained: 2
Percent of long-stay residents who are more depressed or anxious: 27
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 64
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 4
Percent of long-stay residents who spend most of their time in bed or in a chair: 5
Percent of long-stay residents whose ability to move about in and around their room got worse: 23
Percent of long-stay residents who had a urinary tract infection: 5
Percent of long-stay residents who lose too much weight: 7
Percent of short-stay residents given influenza vaccination during the flu season: 83
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 59
Percent of short-stay residents who have delirium: 2
Percent of short-stay residents who had moderate to severe pain: 19
Percent of short-stay residents who have pressure sores: 12
# of Residents: 50
# RN Hours per Resident: 0.88
# LPN Hours per Resident: 0.67
# CNA Hours per Resident: 2.55
Total Staff Hours per Resident: 1.55