Contact Information

GOOD SAMARITAN SOCIETY - PINE RIVER
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
518 JEFFERSON AVENUE, PO BOX 29
PINE RIVER, MN 56474
(218) 587-4423
Non profit - Corporation
Medicare certification date2: May 01, 1987
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

  32 residents

  45 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 None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 32 residents Minnesota Average National Average
Hours by Registered Nurse (RN) per resident per day 1 hour, 4 minutes 56 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 55 minutes 41 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 12 minutes 2 hours, 34 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 16 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
  • PROSOSKI, KAREN

OFFICER

  • HAM-QUICK, MISTY
  • HERDINA, JOSEPH
  • HORAZDOVSKY, DAVID
  • KAPUSTA, THOMAS
  • PETERSON, BERGEN
  • SYVERSON, THOMAS
  • TRIBBLE, GEORGE

Nursing Home Report

In 2016, GOOD SAMARITAN SOCIETY - PINE RIVER charged a total of $952,992 for 51 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 80.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 27% Alzheimer's 45%
Asthma 33% Cancer 10%
Congestive Heart Failure 45% Kidney Disease 65%
COPD 29% Depression 39%
Diabetes 41% Hyperlipidemia 63%
Hypertension n/a Ischemic Heart Disease 47%
Osteoporosis 16% RA / OA 39%
Schizophrenia 4% Stroke 24%
Demographics
Medicare Beneficiaries 51 Average Age 80
Male 27 Female 24
White 50
Black 0
Asian 0
Hispanic 0
American Indian n/a
Other n/a

Health & Fire Inspection

Most recent health inspection: Jun 28, 2018; fire safety inspection: Jun 28, 2018

Health Deficiencies as of 06/28/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 3
Resident Assessment and Care Planning 1
Nursing and Physician Services 1
Resident Rights 2
Nutrition and Dietary Deficiencies None
Pharmacy Service 1
Environmental Deficiencies 1
Administration Deficiencies 1
Fire Deficiencies as of 06/28/2018
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 1
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 None

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See also