Contact Information

GOOD SAMARITAN SOCIETY - STILLWATER
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
1119 OWENS STREET NORTH
STILLWATER, MN 55082
(651) 439-7180
Non profit - Corporation
Medicare certification date2: May 01, 1976
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

  52 residents

  70 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 3
Number of fines 1
Number of penalties 1
Number of payment denials None

Staffing

Staffing for 52 residents Minnesota Average National Average
Hours by Registered Nurse (RN) per resident per day 1 hour, 28 minutes 56 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 24 minutes 41 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 1 hour, 48 minutes 2 hours, 34 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 5 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

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

MANAGING EMPLOYEE

  • HERDINA, JOSEPH
  • RACINE, RENE

OFFICER

  • 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 - STILLWATER charged a total of $2,590,560 for 139 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 20% Alzheimer's 35%
Asthma 30% Cancer 12%
Congestive Heart Failure 33% Kidney Disease 59%
COPD 23% Depression 53%
Diabetes 35% Hyperlipidemia 66%
Hypertension n/a Ischemic Heart Disease 48%
Osteoporosis 17% RA / OA 58%
Schizophrenia 5% Stroke 19%
Demographics
Medicare Beneficiaries 139 Average Age 79
Male 53 Female 86
White 136
Black n/a
Asian n/a
Hispanic n/a
American Indian 0
Other 0

Health & Fire Inspection

Most recent health inspection: Jan 12, 2018; fire safety inspection: Jan 10, 2018

Health Deficiencies as of 01/12/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 5
Resident Assessment and Care Planning 2
Nursing and Physician Services 1
Resident Rights 2
Nutrition and Dietary Deficiencies None
Pharmacy Service 2
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 01/10/2018
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 3
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 1
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations 1

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See also