Provider Name: GOOD SAMARITAN SOCIETY LUTHER MANOR
Address: 1500 W 38TH ST, SIOUX FALLS, SD 57105
Phone: (605) 336-1997
County: Minnehaha (490)
Ownership Type: Non profit - Corporation
Certified Beds: 92
Average Residents Per Day: 86.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
First Approved Date: June 1, 1990
Affiliated Entity: EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (214)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 3 ()
Health Inspection Rating: 3 ()
QM Rating: 3 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.37905, LPN Staff Hours Per Day: 0.3928, RN Staff Hours Per Day: 1.0175, Licensed Staff Hours Per Day: 1.4103
Total Nurse Staff Hours Per Day, per resident: 3.78943
Weekend Nurse Staff Hours: 3.22869, Weekend RN Staff Hours: 0.6633
PT Staff Hours Per Day, per resident: 0.1105
Nurse Staff Turnover: 53.2, Nurse Turnover Note:
RN Turnover: 36.4, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9289, Case Mix LPN Hours Per Day: 0.6932, Case Mix RN Hours Per Day: 0.3429
Adjusted Nurse Aide Hours Per Day, per resident: 2.51265, Adjusted LPN Hours Per Day: 0.4181, Adjusted RN Hours Per Day: 1.1179
Total Adjusted Nurse Hours Per Day, per resident: 4.02829
Adjusted Weekend Nurse Hours Per Day, per resident: 3.43221
Health Survey Dates and Scores: Cycle 1: 2023-09-08 (Score: 20), Cycle 2: 2022-10-26 (Score: 8), Cycle 3: 2021-05-20 (Score: 28)
Total Weighted Health Score: 17.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 17787.25, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 1500 W 38TH ST,SIOUX FALLS,SD,57105 (43.5176, -96.744)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-26
Type: Health, Deficiency: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-26
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-26
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-11-23
Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-17
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-17
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-17
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0351, Version: New
Description: Install an approved automatic sprinkler system.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-09
Type: Fire Safety, Tag: 0233, Version: New
Description: Install resident room doors of proper design and width.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-17