Contact Information

GOOD SAMARITAN SOCIETY-SCANDIA VILLAGE
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
10560 APPLEWOOD RD
SISTER BAY, WI 54234
(920) 854-2317
Non profit - Corporation
Medicare certification date2: October 11, 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

  45 residents

  50 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 1
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 45 residents Wisconsin Average National Average
Hours by Registered Nurse (RN) per resident per day 1 hour, 14 minutes 59 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 3 minutes 34 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 20 minutes 2 hours, 25 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 12 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

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

MANAGING EMPLOYEE

  • NOTZ, MICHELE
  • SCHARNBERG, MARK

OFFICER

  • GAUSE, SYLVIA
  • HAM-QUICK, MISTY
  • HERDINA, JOSEPH
  • HORAZDOVSKY, DAVID
  • NYLANDER, RAYE NAE

Nursing Home Report

In 2016, GOOD SAMARITAN SOCIETY-SCANDIA VILLAGE charged a total of $713,993 for 43 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 28% Alzheimer's 35%
Asthma 44% Cancer 28%
Congestive Heart Failure 47% Kidney Disease 49%
COPD 35% Depression 47%
Diabetes 35% Hyperlipidemia 51%
Hypertension n/a Ischemic Heart Disease 51%
Osteoporosis 33% RA / OA 70%
Schizophrenia 2% Stroke 7%
Demographics
Medicare Beneficiaries 43 Average Age 83
Male 18 Female 25
White 42
Black 0
Asian 0
Hispanic 0
American Indian n/a
Other n/a

Health & Fire Inspection

Most recent health inspection: Dec 07, 2017; fire safety inspection: Dec 07, 2017

Health Deficiencies as of 12/07/2017
Freedom from Abuse, Neglect, and Exploitation 1
Quality of Life and Care 2
Resident Assessment and Care Planning None
Nursing and Physician Services 1
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service 1
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 12/07/2017
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 4
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