Good Samaritan Society - Algona
412 West Kennedy Street, Algona, IA 50511


Good Samaritan Society - Algona is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 165190. The address is 412 West Kennedy Street, Algona, IA 50511. The zip code is 50511. The phone number is 5152952414.


Good Samaritan Society - Algona · 412 West Kennedy Street, Algona, IA 50511

Federal Provider Number 165190
Provider Name GOOD SAMARITAN SOCIETY - ALGONA
Address 412 WEST KENNEDY STREET
ALGONA, IA 50511
Phone Number 5152952414
SSA County Code 540
County Name Kossuth
Ownership Type Non profit - Corporation
Certified Beds 90
Certified Beds Residents 81
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare Medicaid Services 12/01/1993
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.65062
Reported LPN Staffing Hours per Resident per Day 0.44444
Reported RN Staffing Hours per Resident per Day 0.63086
Reported Licensed Staffing Hours per Resident per Day 1.07531
Reported Total Nurse Staffing Hours per Resident per Day 3.72592
Expected CNA Staffing Hours per Resident per Day 2.43584
Expected LPN Staffing Hours per Resident per Day 0.55303
Expected RN Staffing Hours per Resident per Day 0.767
Expected Total Nurse Staffing Hours per Resident per Day 3.75587
Adjusted CNA Staffing Hours per Resident per Day 2.67005
Adjusted LPN Staffing Hours per Resident per Day 0.66702
Adjusted RN Staffing Hours per Resident per Day 0.61458
Adjusted Total Nurse Staffing Hours per Resident per Day 3.99876
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Number of Complaint Health Deficiencies 4
Cycle 1 Health Deficiency Score 64
Cycle 1 Standard Survey Health Date 12/01/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 64
Cycle 2 Total Number of Health Deficiencies 13
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Number of Complaint Health Deficiencies 13
Cycle 2 Health Deficiency Score 76
Cycle 2 Standard Health Survey Date 11/19/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 76
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 10/16/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 60.667
Number of Facility Reported Incidents 4
Number of Substantiated Complaints 4
Number of Fines 1
Total Amount of Fines in Dollars $54340.00
Number of Payment Denials 1
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · Good Samaritan Society - Algona

Owner Name Role Association Date
CONNELLY, LIANE (Individual) DIRECTOR since 06/25/2013
DEUTH, MICHAEL (Individual) DIRECTOR since 06/19/2012
GARD, ALAN (Individual) DIRECTOR since 06/24/2014
GAUSE, SYLVIA (Individual) OFFICER since 07/20/1993
GRINDAL, HARALD (Individual) DIRECTOR since 06/19/2012
GULSVIG, NEIL (Individual) DIRECTOR since 06/23/2009
HALAAS, GWEN (Individual) DIRECTOR since 06/25/2013
HAM-QUICK, MISTY (Individual) OFFICER since 12/11/2010
HERDINA, JOSEPH (Individual) OFFICER since 01/22/2012
HILDEBRANDT, TERESA (Individual) DIRECTOR since 06/23/2009
HOLT, JOHN (Individual) DIRECTOR since 06/22/2010
HORAZDOVSKY, DAVID (Individual) OFFICER since 07/02/2003
KERN, JOHN (Individual) MANAGING EMPLOYEE since 07/18/2007
MARCH-CURTIS, CONNIE (Individual) DIRECTOR since 06/24/2014
MATSON, GUY (Individual) DIRECTOR since 06/25/2013
PETERSON, BERGEN (Individual) OFFICER since 01/17/2015
RACEK, JOHN (Individual) DIRECTOR since 06/25/2013
SAMUELSON, PHILIP (Individual) DIRECTOR since 06/25/2013
SCHARNBERG, MARK (Individual) MANAGING EMPLOYEE since 12/27/2010
ST MARY, SHARON (Individual) DIRECTOR since 06/14/2011
STENE, DENNIS (Individual) DIRECTOR since 06/24/2014
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/01/1993
TRIBBLE, GEORGE (Individual) OFFICER since 12/01/2014
TROUT, CARLA (Individual) DIRECTOR since 06/24/2014

50511 · Nursing Home

Algona Manor Care Center 2221 East Mcgregor Street, Algona, IA 50511

Algona · Nursing Home

Algona Manor Care Center 2221 East Mcgregor Street, Algona, IA 50511

IA · Nursing Home

Good Samaritan Society - Red Oak 201 Alix Avenue, Red Oak, IA 51566
Rose Vista Home, Inc. 1109 Normal Street, Woodbine, IA 51579
Pinnacle Specialty Care 1223 Prairieview Road, Cedar Falls, IA 50613
Northgate Care Center 960 4th Street Nw, Waukon, IA 52172
Good Samaritan Society - Villisca 202 North Central Avenue, Villisca, IA 50864
Harmony House Health Care Cent 2950 West Shaulis Road, Waterloo, IA 50701
Grandview Health Care Center 508 2nd Street Ne, Dayton, IA 50530
North Lake Manor 1325 North Lake Avenue, Storm Lake, IA 50588
Good Samaritan Society - Forest City 606 South Seventh Street, Forest City, IA 50436
Grundy Care Center 102 East J Avenue, Grundy Center, IA 50638
Fellowship Village 300 East Jefferson, Inwood, IA 51240
Pleasant View Home 410 Spruce Street, Albert City, IA 50510
Woodland Terrace 1922 Fifth Avenue Nw, Waverly, IA 50677
Newaldaya Lifescapes 7511 University Avenue, Cedar Falls, IA 50613
Hawkeye Care Center Marshalltown 2401 South Second Street, Marshalltown, IA 50158
Rowley Memorial Masonic Home 3000 East Willis Avenue, Perry, IA 50220
Ramsey Village 1611 27th Street, Des Moines, IA 50310
Mill Valley Care Center 1201 Park Street, Bellevue, IA 52031
Clarence Nursing Home 402 2nd Avenue, Clarence, IA 52216
Fountain West Health Center 1501 Office Park Road, West Des Moines, IA 50265
Clarion Wellness and Rehabilitation Center 110 13th Avenue Sw, Clarion, IA 50525
Community Memorial Health Center 231 North Eighth Avenue West, Hartley, IA 51346
Mercy Living Center North 600 14th Avenue North, Clinton, IA 52732
Parkview Care Center 2237 Highway 34, Fairfield, IA 52556
Prairie Ridge Care & Rehabilit 608 Prairie Street, Mediapolis, IA 52637
Story County Hospital Ltc 630 South Sixth Street, Nevada, IA 50201
Twilight Acres 600 West 6th Street, Wall Lake, IA 51466
Wesley Park Centre 500 First Street North, Newton, IA 50208
Accura Healthcare of Sioux City, LLC 3800 Indian Hills Drive, Sioux City, IA 51104
Good Samaritan Society - George 324 First Avenue North, George, IA 51237
Keota Health Care Center 204 North Keokuk Washington Road, Keota, IA 52248
Sunrise Retirement Community 5501 Gordon Drive East, Sioux City, IA 51106
Newton Village Health Care Center 114 N 5th Avenue W, Newton, IA 50208
Crestridge Care Center 1015 Wesley Drive, Maquoketa, IA 52060
Oakwood Specialty Care 200 16th Avenue East, Albia, IA 52531
Maquoketa Care Center 1202 German Street, Maquoketa, IA 52060
Parkview Home 102 North Jackson Street, Wayland, IA 52654
Elm Crest Retirement Community 2104 12th Street, Harlan, IA 51537
Rehabilitation Center of Hampton 700 Second Street Se, Hampton, IA 50441
Corning Specialty Care 1614 Northgate Drive, Corning, IA 50841