Contact Information

GOOD SAMARITAN SOCIETY-LODI
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
700 CLARK ST
LODI, WI 53555
(608) 592-3241
Non profit - Corporation
Medicare certification date2: December 16, 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

  42 residents

  50 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 3
Facility reported incidents None
Number of fines 2
Number of penalties 2
Number of payment denials None

Staffing

Staffing for 42 residents Wisconsin Average National Average
Hours by Registered Nurse (RN) per resident per day 1 hour, 34 minutes 59 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 11 minutes 34 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 6 minutes 2 hours, 25 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

  • 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

  • SCHARNBERG, MARK

OFFICER

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

Nursing Home Report

In 2016, GOOD SAMARITAN SOCIETY-LODI charged a total of $2,195,683 for 51 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 24% Alzheimer's 37%
Asthma 35% Cancer 18%
Congestive Heart Failure 51% Kidney Disease 41%
COPD 31% Depression 37%
Diabetes 24% Hyperlipidemia 47%
Hypertension n/a Ischemic Heart Disease 47%
Osteoporosis 22% RA / OA 55%
Schizophrenia 4% Stroke 12%
Demographics
Medicare Beneficiaries 51 Average Age 81
Male 24 Female 27
White 50
Black 0
Asian 0
Hispanic n/a
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Mar 07, 2018; fire safety inspection: Mar 09, 2018

Health Deficiencies as of 03/07/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies 2
Pharmacy Service 1
Environmental Deficiencies 2
Administration Deficiencies None
Fire Deficiencies as of 03/09/2018
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 1
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 1
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