Contact Information

GOOD SAMARITAN SOCIETY - AMBASSADOR
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
8100 MEDICINE LAKE ROAD
NEW HOPE, MN 55427
(763) 544-4171
Non profit - Corporation
Medicare certification date2: February 26, 1968
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

  74 residents

  77 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 None
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 74 residents Minnesota Average National Average
Hours by Registered Nurse (RN) per resident per day 1 hour, 56 minutes 56 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 19 minutes 41 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 17 minutes 2 hours, 34 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 7 minutes 7 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

  • BROWN, ELWIN
  • CONNELLY, LIANE
  • DEUTH, MICHAEL
  • GRINDAL, HARALD
  • GULSVIG, NEIL
  • GUSTAFSON, KARI
  • HALAAS, GWEN
  • HILDEBRANDT, TERESA
  • HOLT, JOHN
  • JOHNSON, CHRISTOPHER
  • JUFFER, MICHELE
  • MATSON, GUY
  • RACEK, JOHN
  • SAMUELSON, PHILIP
  • ST MARY, SHARON

MANAGING EMPLOYEE

  • BARTA, MARIE

OFFICER

  • GAUSE, SYLVIA
  • HAM-QUICK, MISTY
  • HERDINA, JOSEPH
  • HORAZDOVSKY, DAVID
  • NYLANDER, RAYE NAE

Nursing Home Report

In 2016, GOOD SAMARITAN SOCIETY - AMBASSADOR charged a total of $4,682,202 for 263 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 16% Alzheimer's 34%
Asthma 34% Cancer 17%
Congestive Heart Failure 39% Kidney Disease 55%
COPD 25% Depression 41%
Diabetes 33% Hyperlipidemia 64%
Hypertension n/a Ischemic Heart Disease 47%
Osteoporosis 19% RA / OA 44%
Schizophrenia 4% Stroke 8%
Demographics
Medicare Beneficiaries 263 Average Age 79
Male 97 Female 166
White 240
Black 11
Asian n/a
Hispanic n/a
American Indian n/a
Other n/a

Health & Fire Inspection

Most recent health inspection: Mar 15, 2018; fire safety inspection: Mar 15, 2018

Health Deficiencies as of 03/15/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies 1
Pharmacy Service None
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 03/15/2018
Emergency Preparedness None
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