Contact Information

GOOD SAMARITAN SOCIETY-KISSIMMEE VILLAGE
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
1500 SOUTHGATE DRIVE
KISSIMMEE, FL 34746
(407) 846-7201
Non profit - Church related
Medicare certification date2: May 20, 1987
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

  153 residents

  161 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident and Family Council

  Automatic sprinklers in all required areas

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

Staffing

Staffing for 153 residents Florida Average National Average
Hours by Registered Nurse (RN) per resident per day 58 minutes 41 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 45 minutes 56 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 50 minutes 2 hours, 41 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 4 minutes 8 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

  • CONNELLY, LIANE
  • DEUTH, MICHAEL
  • GARD, ALAN
  • GRINDAL, HARALD
  • HALAAS, GWEN
  • HILDEBRANDT, TERESA
  • MARCH-CURTIS, CONNIE
  • MATSON, GUY
  • RACEK, JOHN
  • SAMUELSON, PHILIP
  • ST MARY, SHARON

MANAGING EMPLOYEE

  • BARGLOF, MARK
  • MENEZIL, ROLAND
  • SCHARNBERG, MARK

OFFICER

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

OPERATIONAL/MANAGERIAL CONTROL

  • HORAZDOVSKY, DAVID

Nursing Home Report

In 2016, GOOD SAMARITAN SOCIETY-KISSIMMEE VILLAGE charged a total of $5,881,810 for 225 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 81.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 26% Alzheimer's 55%
Asthma 38% Cancer 19%
Congestive Heart Failure 53% Kidney Disease 67%
COPD 37% Depression 53%
Diabetes 61% Hyperlipidemia n/a
Hypertension n/a Ischemic Heart Disease n/a
Osteoporosis 16% RA / OA 64%
Schizophrenia 7% Stroke 21%
Demographics
Medicare Beneficiaries 225 Average Age 81
Male 90 Female 135
White 166
Black 20
Asian n/a
Hispanic 35
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Nov 16, 2017; fire safety inspection: Nov 14, 2017

Health Deficiencies as of 11/16/2017
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies 1
Pharmacy Service None
Environmental Deficiencies 2
Administration Deficiencies 1
Fire Deficiencies as of 11/14/2017
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies 1
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
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