Contact Information

GOOD SAMARITAN SOCIETY-PEORIA GOOD SHEPHERD
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
10323 WEST OLIVE AVENUE
PEORIA, AZ 85345
(623) 875-0100
Non profit - Corporation
Medicare certification date2: August 05, 1988
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  80 residents

  150 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 6
Facility reported incidents None
Number of fines None
Number of penalties 1
Number of payment denials 1

Staffing

Staffing for 80 residents Arizona Average National Average
Hours by Registered Nurse (RN) per resident per day 29 minutes 49 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 6 minutes 1 hour, 5 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 21 minutes 2 hours, 25 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 3 minutes 10 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

DIRECTOR

  • BOLLIG, REBECCA
  • BUCKNEBERG, NORVAL
  • CAMERO, PATRICIA
  • DEUTH, MICHAEL
  • GARD, ALAN
  • GRINDAL, HARALD
  • HALAAS, GWEN
  • KRZMARZICK, HEATHER
  • LAAVEG, LEE
  • MELBY, LISA
  • PHILLIPPE, TIMOTHY
  • RACEK, JOHN
  • ROBINSON, DINA
  • SCHUMANN, JILL
  • THOMPSON, DALE

MANAGING EMPLOYEE

  • GUNTHER, KELLY
  • HERDINA, JOSEPH

OFFICER

  • HAM-QUICK, MISTY
  • HERDINA, JOSEPH
  • HORAZDOVSKY, DAVID
  • KAPUSTA, THOMAS
  • PETERSON, BERGEN
  • SYVERSON, THOMAS
  • TRIBBLE, GEORGE

Nursing Home Report

In 2016, GOOD SAMARITAN SOCIETY-PEORIA GOOD SHEPHERD charged a total of $826,914 for 42 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 79.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 43% Alzheimer's 48%
Asthma 57% Cancer 17%
Congestive Heart Failure 60% Kidney Disease 74%
COPD 50% Depression 48%
Diabetes 50% Hyperlipidemia 71%
Hypertension n/a Ischemic Heart Disease 67%
Osteoporosis 17% RA / OA 69%
Schizophrenia 5% Stroke 19%
Demographics
Medicare Beneficiaries 42 Average Age 79
Male 15 Female 27
White 37
Black n/a
Asian 0
Hispanic n/a
American Indian 0
Other 0

Health & Fire Inspection

Most recent health inspection: Jun 22, 2017; fire safety inspection: Jun 23, 2017

Health Deficiencies as of 06/22/2017
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 2
Resident Assessment and Care Planning 1
Nursing and Physician Services 1
Resident Rights 2
Nutrition and Dietary Deficiencies 1
Pharmacy Service 1
Environmental Deficiencies 3
Administration Deficiencies None
Fire Deficiencies as of 06/23/2017
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies 1
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 2
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 2
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also