Provider Name: GOOD SAMARITAN SOCIETY TYNDALL
Address: 2304 LAUREL STREET, TYNDALL, SD 57066
Phone: (605) 589-3350
County: Bon Homme (040)
Ownership Type: Non profit - Corporation
Certified Beds: 68
Average Residents Per Day: 61.3 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
First Approved Date: April 1, 1996
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: 3 ()
Short Stay QM Rating: (2)
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.23127, LPN Staff Hours Per Day: 0.4524, RN Staff Hours Per Day: 0.5470, Licensed Staff Hours Per Day: 0.9995
Total Nurse Staff Hours Per Day, per resident: 3.23077
Weekend Nurse Staff Hours: 2.80486, Weekend RN Staff Hours: 0.3394
PT Staff Hours Per Day, per resident: 0.0299
Nurse Staff Turnover: 44.2, Nurse Turnover Note:
RN Turnover: 33.3, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0982, Case Mix LPN Hours Per Day: 0.6848, Case Mix RN Hours Per Day: 0.2571
Adjusted Nurse Aide Hours Per Day, per resident: 2.16643, Adjusted LPN Hours Per Day: 0.4875, Adjusted RN Hours Per Day: 0.8016
Total Adjusted Nurse Hours Per Day, per resident: 3.34959
Adjusted Weekend Nurse Hours Per Day, per resident: 2.90801
Health Survey Dates and Scores: Cycle 1: 2023-09-28 (Score: 32), Cycle 2: 2022-08-25 (Score: 0), Cycle 3: 2021-03-18 (Score: 16)
Total Weighted Health Score: 18.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 28470.00, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 2304 LAUREL STREET,TYNDALL,SD,57066 (42.9985, -97.864)
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: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-27
Type: Health, Deficiency: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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 2023-10-27
Type: Health, Deficiency: Provide enough food/fluids to maintain a resident's health.
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 2023-10-27
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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 2021-04-22
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 2021-04-22
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: 0361, Version: New
Description: Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
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 2022-09-23