Contact Information

GOOD SAMARITAN SOCIETY - MOTT
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
401 MILLIONAIRE AVE
MOTT, ND 58646
(701) 824-3222
Non profit - Corporation
Medicare certification date2: February 05, 1991
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

  34 residents

  48 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 34 residents North Dakota Average National Average
Hours by Registered Nurse (RN) per resident per day 37 minutes 50 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 38 minutes 36 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 42 minutes 2 hours, 58 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 4 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

  • 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
  • WICHMAN, HELEN

OFFICER

  • GAUSE, SYLVIA
  • HAM-QUICK, MISTY
  • HERDINA, JOSEPH
  • HORAZDOVSKY, DAVID
  • PETERSON, BERGEN
  • TRIBBLE, GEORGE

Nursing Home Report

In 2016, GOOD SAMARITAN SOCIETY - MOTT charged a total of $119,599 for 27 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 85.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 37% Alzheimer's 74%
Asthma 22% Cancer 26%
Congestive Heart Failure 59% Kidney Disease 56%
COPD 26% Depression 52%
Diabetes 33% Hyperlipidemia 63%
Hypertension n/a Ischemic Heart Disease 52%
Osteoporosis 22% RA / OA 48%
Schizophrenia 11% Stroke 11%
Demographics
Medicare Beneficiaries 27 Average Age 85
Male 12 Female 15
White 27
Black 0
Asian 0
Hispanic 0
American Indian 0
Other 0

Health & Fire Inspection

Most recent health inspection: Jul 26, 2018; fire safety inspection: Jun 05, 2018

Health Deficiencies as of 07/26/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning 3
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 06/05/2018
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 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