Contact Information

GOOD SAMARITAN SOCIETY - FOUR CORNERS VILLAGE
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
500 CARE LANE
AZTEC, NM 87410
(505) 334-9445
Non profit - Church related
Medicare certification date2: August 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

  74 residents

  88 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 1
Facility reported incidents None
Number of fines 1
Number of penalties 2
Number of payment denials 1

Staffing

Staffing for 74 residents New Mexico Average National Average
Hours by Registered Nurse (RN) per resident per day 34 minutes 43 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 37 minutes 37 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 17 minutes 2 hours, 14 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
  • PEREZ, CRAIG

OFFICER

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

OPERATIONAL/MANAGERIAL CONTROL

  • HORAZDOVSKY, DAVID

Nursing Home Report

In 2016, GOOD SAMARITAN SOCIETY - FOUR CORNERS VILLAGE charged a total of $2,081,243 for 96 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 79.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 24% Alzheimer's 54%
Asthma 34% Cancer 5%
Congestive Heart Failure 52% Kidney Disease 53%
COPD 34% Depression 40%
Diabetes 51% Hyperlipidemia 64%
Hypertension n/a Ischemic Heart Disease 68%
Osteoporosis 19% RA / OA 58%
Schizophrenia 9% Stroke 14%
Demographics
Medicare Beneficiaries 96 Average Age 79
Male 42 Female 54
White 74
Black n/a
Asian 0
Hispanic n/a
American Indian 12
Other 0

Health & Fire Inspection

Most recent health inspection: May 17, 2018; fire safety inspection: May 16, 2018

Health Deficiencies as of 05/17/2018
Freedom from Abuse, Neglect, and Exploitation 2
Quality of Life and Care None
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 05/16/2018
Emergency Preparedness 8
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies 1
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