Provider Name: GOOD SAMARITAN SOCIETY DE SMET
Address: 411 CALUMET AVENUE NW, DE SMET, SD 57231
Phone: (605) 854-3327
County: Kingsbury (380)
Ownership Type: Non profit - Corporation
Certified Beds: 46
Average Residents Per Day: 38.4 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
First Approved Date: March 1, 1994
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: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 2 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: (2)
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.17918, LPN Staff Hours Per Day: 0.3850, RN Staff Hours Per Day: 0.7059, Licensed Staff Hours Per Day: 1.0909
Total Nurse Staff Hours Per Day, per resident: 3.27017
Weekend Nurse Staff Hours: 2.68161, Weekend RN Staff Hours: 0.3882
PT Staff Hours Per Day, per resident: 0.0194
Nurse Staff Turnover: 58.5, Nurse Turnover Note:
RN Turnover: 37.5, RN Turnover Note:
Admin Left Number: 2, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0454, Case Mix LPN Hours Per Day: 0.6825, Case Mix RN Hours Per Day: 0.2882
Adjusted Nurse Aide Hours Per Day, per resident: 2.17049, Adjusted LPN Hours Per Day: 0.4163, Adjusted RN Hours Per Day: 0.9227
Total Adjusted Nurse Hours Per Day, per resident: 3.41743
Adjusted Weekend Nurse Hours Per Day, per resident: 2.80237
Health Survey Dates and Scores: Cycle 1: 2024-01-11 (Score: 20), Cycle 2: 2023-02-09 (Score: 0), Cycle 3: 2021-12-02 (Score: 0)
Total Weighted Health Score: 10.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 411 CALUMET AVENUE NW,DE SMET,SD,57231 (44.3837, -97.550)
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: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 2024-02-20
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 2024-02-20
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 2024-02-20
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: 0226, Version: New
Description: Have horizontal exits used in accordance with safety requirements.
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 2023-03-03
Type: Fire Safety, Tag: 0271, Version: New
Description: Have exits that are accessible at all times.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-02-08
Type: Fire Safety, Tag: 0013, Version: New
Description: Develop Emergency Preparedness policies and procedures.
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 2022-01-12
Type: Fire Safety, Tag: 0039, Version: New
Description: Conduct testing and exercise requirements.
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 2022-01-12