Contact Information

GOOD SAMARITAN SOCIETY - INTERNATIONAL FALLS
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
2201 KEENAN DRIVE
INTERNATIONAL FALLS, MN 56649
(218) 283-8313
Non profit - Corporation
Medicare certification date2: June 01, 1986
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

  51 residents

  54 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 1
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 51 residents Minnesota Average National Average
Hours by Registered Nurse (RN) per resident per day 33 minutes 56 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 57 minutes 41 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 37 minutes 2 hours, 34 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 6 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
  • 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
  • SCHMITZ, ZACHARY

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 - INTERNATIONAL FALLS charged a total of $933,428 for 42 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 78.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 21% Alzheimer's 40%
Asthma 38% Cancer 14%
Congestive Heart Failure 60% Kidney Disease 55%
COPD 29% Depression 48%
Diabetes 36% Hyperlipidemia 50%
Hypertension n/a Ischemic Heart Disease 48%
Osteoporosis 14% RA / OA 64%
Schizophrenia 12% Stroke 12%
Demographics
Medicare Beneficiaries 42 Average Age 78
Male 15 Female 27
White 41
Black 0
Asian 0
Hispanic 0
American Indian n/a
Other n/a

Health & Fire Inspection

Most recent health inspection: May 03, 2018; fire safety inspection: May 03, 2018

Health Deficiencies as of 05/03/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 3
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 05/03/2018
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