Contact Information

GOOD SAMARITAN SOCIETY - BLACKDUCK
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
172 SUMMIT AVENUE WEST
BLACKDUCK, MN 56630
(218) 835-3410
Non profit - Church related
Medicare certification date2: April 01, 1992
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

  27 residents

  30 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 27 residents Minnesota Average National Average
Hours by Registered Nurse (RN) per resident per day 1 hour, 18 minutes 56 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 12 minutes 41 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 55 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

  • CONNELLY, LIANE
  • DEUTH, MICHAEL
  • GARD, ALAN
  • GRINDAL, HARALD
  • GULSVIG, NEIL
  • HALAAS, GWEN
  • HILDEBRANDT, TERESA
  • HOLT, JOHN
  • MARCH-CURTIS, CONNIE
  • MATSON, GUY
  • RACEK, JOHN
  • SAMUELSON, PHILIP
  • ST MARY, SHARON
  • STENE, DENNIS
  • TROUT, CARLA

MANAGING EMPLOYEE

  • SCHARNBERG, MARK
  • STONE, JONATHAN

OFFICER

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

OPERATIONAL/MANAGERIAL CONTROL

  • HORAZDOVSKY, DAVID

Nursing Home Report

In 2016, GOOD SAMARITAN SOCIETY - BLACKDUCK charged a total of $466,364 for 23 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 81.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 17% Alzheimer's 57%
Asthma 39% Cancer 17%
Congestive Heart Failure 35% Kidney Disease 74%
COPD 35% Depression 26%
Diabetes 35% Hyperlipidemia 74%
Hypertension n/a Ischemic Heart Disease 61%
Osteoporosis 30% RA / OA 61%
Schizophrenia 0% Stroke 0%
Demographics
Medicare Beneficiaries 23 Average Age 81
Male n/a Female n/a
White 22
Black 0
Asian 0
Hispanic 0
American Indian n/a
Other n/a

Health & Fire Inspection

Most recent health inspection: Jun 07, 2018; fire safety inspection: Jun 06, 2018

Health Deficiencies as of 06/07/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights 3
Nutrition and Dietary Deficiencies None
Pharmacy Service 2
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 06/06/2018
Emergency Preparedness 1
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 2
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