Contact Information

GOOD SAMARITAN SOCIETY - CHEYENNE COUNTY
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
820 S DENISON STREET
ST FRANCIS, KS 67756
(785) 332-2531
Non profit - Corporation
Medicare certification date2: June 01, 1995
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

  26 residents

  30 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 3
Number of fines 1
Number of penalties 1
Number of payment denials None

Staffing

Staffing for 26 residents Kansas Average National Average
Hours by Registered Nurse (RN) per resident per day 57 minutes 43 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 22 minutes 41 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 3 hours, 3 minutes 2 hours, 38 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 3 minutes 5 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
  • PAULSEN, JEFFREY

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 - CHEYENNE COUNTY charged a total of $329,458 for 22 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 86.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 27% Alzheimer's 50%
Asthma 36% Cancer 9%
Congestive Heart Failure 59% Kidney Disease 64%
COPD 41% Depression 27%
Diabetes 41% Hyperlipidemia 50%
Hypertension n/a Ischemic Heart Disease 64%
Osteoporosis 32% RA / OA 55%
Schizophrenia 0% Stroke 18%
Demographics
Medicare Beneficiaries 22 Average Age 86
Male n/a Female n/a
White 22
Black 0
Asian 0
Hispanic 0
American Indian 0
Other 0

Health & Fire Inspection

Most recent health inspection: Nov 05, 2018; fire safety inspection: Jun 05, 2018

Health Deficiencies as of 11/05/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
Resident Assessment and Care Planning None
Nursing and Physician Services 1
Resident Rights 1
Nutrition and Dietary Deficiencies 1
Pharmacy Service 2
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 06/05/2018
Emergency Preparedness 17
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 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