GOOD SAMARITAN SOCIETY-ST CROIX VALLEY - ST CROIX FALLS, WI
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Address 750 E LOUISIANA STPhone (make sure to verify first before calling): (715) 483-9815 Number of Certified Beds: 75 Total Number of Residents: 68 Percent of Occupied Beds: 91% Sprinkler Status: Fully Sprinklered Program Participation: Medicare and Medicaid Type of Ownership: Non profit - Corporation Located Within a Hospital?: No Multi Nursing Home Ownership?: Yes Resident and Family Councils: Both Continuing Care Retirement Community?: No Quality Indicator Survey?: No Special Focus Facility?: No Type: Skilled Nursing Facilities Overall Star Rating: 4 Stars Health Inspections Star Rating: 4 Stars Nurse Staffing Star Rating: 4 Stars Quality Measures Star Rating: 4 Stars RN Only Star Rating: 4 Stars Employment Full-Time EquivalentAdministrative Staff - Full Time: 5.41Administrative Staff - Part Time: 1.24 Certified Nurse Aides - Full Time: 21.84 Certified Nurse Aides - Part Time: 18.00 Food Service Personnel - Full Time: 3.37 Food Service Personnel - Part Time: 8.61 Housekeeping Personnel - Full Time: 3.14 Licensed Practical/ Vocational Nurses - Full Time: 3.57 Licensed Practical/ Vocational Nurses - Part Time: 4.84 Medical Directors - Under Contract: 0.03 Nurses With Administrative Duties - Full Time: 0.97 Persons Not Included In Any Other Categories - Full Time: 1.77 Registered Nurses - Full Time: 4.84 Rn Director Of Nursing - Full Time: 0.91 Social Workers - Full Time: 2.27 Activities Professionals - Full Time: 2.29 Dentists - Under Contract: 0.01 Dietitians - Part Time: 0.94 Occupational Therapists - Under Contract: 0.07 Occupational Therapists - Part Time: 0.51 Pharmacists - Under Contract: 0.11 Physical Therapists - Part Time: 0.93 Podiatrists - Under Contract: 0.06 Other Physicians - Under Contract: 0.09 Persons Not Included In Any Other Categories - Part Time: 0.43 Registered Nurses - Part Time: 5.79 Housekeeping Personnel - Part Time: 1.76 Provided Services
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay residents who self-report moderate to severe pain
Percent of long-stay residents who lose too much weight
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Percent of long-stay residents with a urinary tract infection
Percent of long-stay residents who have depressive symptoms
Percent of long-stay residents who were physically restrained
Percent of long-stay residents experiencing one or more falls with major injury
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents with Pressure ulcers that are new or worsened
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Percent of long-stay residents who received an antipsychotic medication
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Complaint DeficiencyExits that are free from obstructions and can be used at all times: Many (Minimal harm or potential for actual harm)Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm) Back-up procedures in place for a faulty automatic sprinkler system: Many (Potential for minimal harm) An approved back-up procedure for a faulty fire alarm system: Many (Potential for minimal harm) Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Many (Potential for minimal harm) Develop policies and procedures for influenza and pneumococcal immunizations: Some (Minimal harm or potential for actual harm) Have a program that investigates, controls and keeps infection from spreading: Many (Minimal harm or potential for actual harm) Other nearby hospitals and nursing homes
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