Contact Information

GOOD SAMARITAN SOCIETY-ST CROIX VALLEY
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
750 E LOUISIANA ST
ST CROIX FALLS, WI 54024
(715) 483-9815
Non profit - Corporation
Medicare certification date2: June 01, 1994
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

  40 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 None
Facility reported incidents 4
Number of fines 1
Number of penalties 1
Number of payment denials None

Staffing

Staffing for 40 residents Wisconsin Average National Average
Hours by Registered Nurse (RN) per resident per day 42 minutes 59 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 49 minutes 34 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 10 minutes 2 hours, 25 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 17 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
  • STONE, JONATHAN

OFFICER

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

Nursing Home Report

In 2016, GOOD SAMARITAN SOCIETY-ST CROIX VALLEY charged a total of $1,822,477 for 89 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 28% Alzheimer's 27%
Asthma 28% Cancer 16%
Congestive Heart Failure 49% Kidney Disease 64%
COPD 26% Depression 42%
Diabetes 44% Hyperlipidemia 71%
Hypertension n/a Ischemic Heart Disease 51%
Osteoporosis 13% RA / OA 48%
Schizophrenia 2% Stroke 15%
Demographics
Medicare Beneficiaries 89 Average Age 79
Male 29 Female 60
White 86
Black 0
Asian 0
Hispanic 0
American Indian n/a
Other n/a

Health & Fire Inspection

Most recent health inspection: Feb 15, 2018; fire safety inspection: Feb 21, 2018

Health Deficiencies as of 02/15/2018
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 1
Nutrition and Dietary Deficiencies None
Pharmacy Service 1
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 02/21/2018
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 None
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