Provider Name: GOOD SAMARITAN SOCIETY MILLER
Address: 421 EAST 4TH ST, MILLER, SD 57362
Phone: (605) 853-2701
County: Hand (290)
Ownership Type: Non profit - Church related
Certified Beds: 50
Average Residents Per Day: 39.6 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
First Approved Date: May 1, 2008
Affiliated Entity: EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (214)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: None
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 5 ()
QM Rating: 1 ()
Long Stay QM Rating: 1 ()
Short Stay QM Rating: (2)
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.09304, LPN Staff Hours Per Day: 0.1721, RN Staff Hours Per Day: 0.7425, Licensed Staff Hours Per Day: 0.9146
Total Nurse Staff Hours Per Day, per resident: 4.00772
Weekend Nurse Staff Hours: 3.50101, Weekend RN Staff Hours: 0.4228
PT Staff Hours Per Day, per resident: 0.0090
Nurse Staff Turnover: 65.9, 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: 2.1307, Case Mix LPN Hours Per Day: 0.6437, Case Mix RN Hours Per Day: 0.3039
Adjusted Nurse Aide Hours Per Day, per resident: 2.95731, Adjusted LPN Hours Per Day: 0.1972, Adjusted RN Hours Per Day: 0.9205
Total Adjusted Nurse Hours Per Day, per resident: 4.10348
Adjusted Weekend Nurse Hours Per Day, per resident: 3.58465
Health Survey Dates and Scores: Cycle 1: 2023-07-13 (Score: 0), Cycle 2: 2022-06-02 (Score: 12), Cycle 3: 2020-02-20 (Score: 12)
Total Weighted Health Score: 6.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 3250.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 421 EAST 4TH ST,MILLER,SD,57362 (44.5196, -98.983)
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: Ensure services provided by the nursing facility meet professional standards of quality.
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 2022-06-30
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 2022-06-30
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
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 2020-04-03
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 2020-04-03
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: 0222, Version: New
Description: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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 2023-07-12
Type: Fire Safety, Tag: 0241, Version: New
Description: Have correct number of accessible exits for each story.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has no plan of correction on