Contact Information

GOOD SAMARITAN SOCIETY - BOTTINEAU
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
725 E 10TH ST
BOTTINEAU, ND 58318
(701) 228-3796
Non profit - Corporation
Medicare certification date2: December 01, 1989
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

  50 residents

  65 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 50 residents North Dakota Average National Average
Hours by Registered Nurse (RN) per resident per day 42 minutes 50 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 8 minutes 36 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 39 minutes 2 hours, 58 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 2 minutes 4 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
  • WHEELER, SCOTT

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 - BOTTINEAU charged a total of $446,356 for 37 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 83.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 16% Alzheimer's 54%
Asthma 32% Cancer 19%
Congestive Heart Failure 43% Kidney Disease 49%
COPD 30% Depression 54%
Diabetes 51% Hyperlipidemia 68%
Hypertension n/a Ischemic Heart Disease 59%
Osteoporosis 19% RA / OA 57%
Schizophrenia 14% Stroke 27%
Demographics
Medicare Beneficiaries 37 Average Age 83
Male 20 Female 17
White 34
Black 0
Asian 0
Hispanic 0
American Indian n/a
Other n/a

Health & Fire Inspection

Most recent health inspection: Aug 01, 2018; fire safety inspection: May 29, 2018

Health Deficiencies as of 08/01/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service 2
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 05/29/2018
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies 1
Corridor Walls and Doors None
Egress Deficiencies 2
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 3
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 2

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See also