Contact Information

GOOD SAMARITAN SOCIETY - FAIRLAWN VILLAGE
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
3457 NE DIVISION STREET
GRESHAM, OR 97030
(503) 667-1965
Non profit - Corporation
Medicare certification date2: June 14, 1976
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

  61 residents

  82 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 3
Facility reported incidents None
Number of fines 1
Number of penalties 1
Number of payment denials None

Staffing

Staffing for 61 residents Oregon Average National Average
Hours by Registered Nurse (RN) per resident per day 48 minutes 50 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 20 minutes 49 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 3 hours, 19 minutes 3 hours, 5 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 8 minutes 10 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

  • BROWN, ELWIN
  • CONNELLY, LIANE
  • DEUTH, MICHAEL
  • GRINDAL, HARALD
  • GULSVIG, NEIL
  • HALAAS, GWEN
  • HILDEBRANDT, TERESA
  • HOLT, JOHN
  • JOHNSON, CHRISTOPHER
  • JUFFER, MICHELE
  • MATSON, GUY
  • RACEK, JOHN
  • SAMUELSON, PHILIP
  • ST MARY, SHARON

MANAGING EMPLOYEE

  • MURASKI, DENA

OFFICER

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

Nursing Home Report

In 2016, GOOD SAMARITAN SOCIETY - FAIRLAWN VILLAGE charged a total of $2,470,248 for 84 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 27% Alzheimer's 43%
Asthma 35% Cancer 25%
Congestive Heart Failure 69% Kidney Disease 73%
COPD 35% Depression 35%
Diabetes 46% Hyperlipidemia 68%
Hypertension n/a Ischemic Heart Disease 55%
Osteoporosis 20% RA / OA 52%
Schizophrenia 5% Stroke 14%
Demographics
Medicare Beneficiaries 84 Average Age 81
Male 33 Female 51
White 79
Black 0
Asian n/a
Hispanic n/a
American Indian n/a
Other n/a

Health & Fire Inspection

Most recent health inspection: May 14, 2018; fire safety inspection: May 08, 2018

Health Deficiencies as of 05/14/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service 1
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 05/08/2018
Emergency Preparedness 3
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 None
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