Contact Information

GOOD SAMARITAN SOCIETY-FENNIMORE
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
1850 11TH ST
FENNIMORE, WI 53809
(608) 822-6100
Non profit - Corporation
Medicare certification date2: May 14, 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

  49 residents

  62 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 1
Number of fines 2
Number of penalties 2
Number of payment denials None

Staffing

Staffing for 49 residents Wisconsin Average National Average
Hours by Registered Nurse (RN) per resident per day 56 minutes 59 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 24 minutes 34 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 34 minutes 2 hours, 25 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 3 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
  • NERISON, GRANT

OFFICER

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

Nursing Home Report

In 2016, GOOD SAMARITAN SOCIETY-FENNIMORE charged a total of $607,901 for 33 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 82.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 24% Alzheimer's 36%
Asthma 39% Cancer 15%
Congestive Heart Failure 61% Kidney Disease 52%
COPD 39% Depression 45%
Diabetes 45% Hyperlipidemia 52%
Hypertension 73% Ischemic Heart Disease 61%
Osteoporosis 12% RA / OA 42%
Schizophrenia 3% Stroke 9%
Demographics
Medicare Beneficiaries 33 Average Age 82
Male 15 Female 18
White 33
Black 0
Asian 0
Hispanic 0
American Indian 0
Other 0

Health & Fire Inspection

Most recent health inspection: Sep 21, 2017; fire safety inspection: Sep 19, 2017

Health Deficiencies as of 09/21/2017
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 None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 09/19/2017
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 2
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations 1

Other Nursing Homes near by

→ 10.5 mi

CARE AND REHAB - BOSCOBEL

207 PARKER ST
BOSCOBEL, WI 53805
→ 13.1 mi

ORCHARD MANOR

8800 HWY 61
LANCASTER, WI 53813
→ 13.1 mi

ATRIUM POST ACUTE CARE OF LANCASTER

1350 S MADISON ST
LANCASTER, WI 53813
→ 13.2 mi

DYCORA TRANSITIONAL HEALTH - RIVERDALE

1000 N WISCONSIN AVE
MUSCODA, WI 53573
→ 18.7 mi

MANORCARE HEALTH SERVICES-PLATTEVILLE

1300 N WATER ST
PLATTEVILLE, WI 53818
→ 18.7 mi

GRAY'S NURSING HOME

555 N CHESTNUT ST
PLATTEVILLE, WI 53818
→ 22.0 mi

UPLAND HILLS NURSING AND REHAB

800 COMPASSION WAY
DODGEVILLE, WI 53533
→ 22.0 mi

BLOOMFIELD HEALTHCARE AND REHAB CENTER

3151 CTY RD CH
DODGEVILLE, WI 53533
→ 24.4 mi

PRAIRIE MAISON

700 SOUTH FREMONT
PRAIRIE DU CHIEN, WI 53821

See also