Contact Information

GOOD SAMARITAN SOCIETY-DAYTONA
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
325 S SEGRAVE STREET
DAYTONA BEACH, FL 32114
(386) 253-6791
Non profit - Corporation
Medicare certification date2: June 02, 1989
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

  89 residents

  100 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 1
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 89 residents Florida Average National Average
Hours by Registered Nurse (RN) per resident per day 34 minutes 41 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 54 minutes 56 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 36 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

  • 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

  • HERDINA, JOSEPH
  • MEYER, LISA

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-DAYTONA charged a total of $720,413 for 37 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 75.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 11% Alzheimer's 51%
Asthma 41% Cancer 8%
Congestive Heart Failure 32% Kidney Disease 59%
COPD 38% Depression 62%
Diabetes 54% Hyperlipidemia 65%
Hypertension n/a Ischemic Heart Disease 43%
Osteoporosis 11% RA / OA 51%
Schizophrenia 22% Stroke 35%
Demographics
Medicare Beneficiaries 37 Average Age 75
Male n/a Female n/a
White 23
Black 11
Asian n/a
Hispanic n/a
American Indian 0
Other 0

Health & Fire Inspection

Most recent health inspection: Mar 01, 2018; fire safety inspection: Feb 28, 2018

Health Deficiencies as of 03/01/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 2
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies 2
Pharmacy Service None
Environmental Deficiencies 2
Administration Deficiencies None
Fire Deficiencies as of 02/28/2018
Emergency Preparedness 3
Automatic Sprinkler Systems None
Construction Deficiencies None
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 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