Good Samaritan Society Canton
1022 North Dakota Avenue, Canton, SD 57013


Good Samaritan Society Canton is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 435101. The address is 1022 North Dakota Avenue, Canton, SD 57013. The zip code is 57013. The phone number is 6059872696.


Good Samaritan Society Canton · 1022 North Dakota Avenue, Canton, SD 57013

Federal Provider Number 435101
Provider Name GOOD SAMARITAN SOCIETY CANTON
Address 1022 NORTH DAKOTA AVENUE
CANTON, SD 57013
Phone Number 6059872696
SSA County Code 410
County Name Lincoln
Ownership Type Non profit - Corporation
Certified Beds 59
Certified Beds Residents 51
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 04/01/1997
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 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating 2
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 1.6098
Reported LPN Staffing Hours per Resident per Day 0.5
Reported RN Staffing Hours per Resident per Day 0.70784
Reported Licensed Staffing Hours per Resident per Day 1.20784
Reported Total Nurse Staffing Hours per Resident per Day 2.81764
Reported Physical Therapist Staffing Hours per Resident Per Day 0.02549
Expected CNA Staffing Hours per Resident per Day 2.381
Expected LPN Staffing Hours per Resident per Day 0.52291
Expected RN Staffing Hours per Resident per Day 0.74867
Expected Total Nurse Staffing Hours per Resident per Day 3.65257
Adjusted CNA Staffing Hours per Resident per Day 1.65896
Adjusted LPN Staffing Hours per Resident per Day 0.79364
Adjusted RN Staffing Hours per Resident per Day 0.70645
Adjusted Total Nurse Staffing Hours per Resident per Day 3.10949
Cycle 1 Standard Survey Health Date 10/05/2016
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 24
Cycle 2 Standard Health Survey Date 09/30/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 24
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 08/20/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 11.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Good Samaritan Society Canton

Owner Name Role Association Date
BROWN, ELWIN (Individual) DIRECTOR since 06/14/2011
CONNELLY, LIANE (Individual) OFFICER since 06/25/2013
DEUTH, MICHAEL (Individual) DIRECTOR since 06/19/2012
GAUSE, SYLVIA (Individual) OFFICER since 07/20/1993
GRINDAL, HARALD (Individual) DIRECTOR since 06/19/2012
GULSVIG, NEIL (Individual) DIRECTOR since 06/23/2009
GUSTAFSON, KARI (Individual) DIRECTOR since 06/14/2011
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) OFFICER since 06/23/2009
HOLT, JOHN (Individual) DIRECTOR since 06/22/2010
HORAZDOVSKY, DAVID (Individual) OFFICER since 07/02/2003
JOHNSON, CHRISTOPHER (Individual) DIRECTOR since 07/22/2008
JUFFER, MICHELE (Individual) OFFICER since 06/22/2010
MARKO, JULIE (Individual) MANAGING EMPLOYEE since 11/01/2004
MATSON, GUY (Individual) DIRECTOR since 06/25/2013
NYLANDER, RAYE NAE (Individual) OFFICER since 01/01/2002
RACEK, JOHN (Individual) DIRECTOR since 06/25/2013
SAMUELSON, PHILIP (Individual) OFFICER since 06/25/2013
SCHARNBERG, MARK (Individual) OFFICER since 12/27/2010
ST MARY, SHARON (Individual) OFFICER since 06/14/2011
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/01/1997

Canton · Nursing Home

Brian Center Health & Rehabilitation/canton 150 Hospital Circle N.w., Canton, GA 30114
Stone Crossing Care Ctr By Lamplight Communities 836 West 34th Street Nw, Canton, OH 44709
Kindred Nursing and Rehabilitation-tower Hill One Meadowbrook Way, Canton, MA 02021
Regency At Canton 45900 Geddes Road, Canton, MI 48188
Lewis County Nursing Home District Po Box 266, 17528 State Highway 81, Canton, MO 63435
Astoria Skilled Nursing and Rehabilitation 3537 12th Street, Nw, Canton, OH 44708
Lodge At New Dawn The 3660 Greentree Avenue Sw, Canton, OH 44706
Canton Healthcare Center 1661 S Buffalo, Canton, TX 75103
Canton Christian Home 2550 Cleveland Avenue Nw, Canton, OH 44709
Manorcare Health Svcs-belden Village 5005 Higbee Avenue Nw, Canton, OH 44718
Canton Nursing Center 321 Hospital Road, Canton, GA 30114
Pines, The 3015 17th Street Nw, Canton, OH 44708
Maplewood Health Care and Rehabilitation Center 205 State Street Road, Canton, NY 13617
Canton Health Care Center 1223 Market Avenue N, Canton, OH 44714
Mckinley Health Care Ctr LLC 800 Market Avenue North, Canton, OH 44702
Hellenic Nursing & Rehabilitation Center 601 Sherman Street, Canton, MA 02021
Graham Hospital 210 West Walnut Street, Canton, IL 61520
Madison Co Nh 1421-a East Peace Street/p. O. Box 488, Canton, MS 39046
Heartland Health Care Center-canton 7025 Lilley Road, Canton, MI 48187
Aultman Transitional Care Center 2821 Woodlawn Avenue Nw, Canton, OH 44708
Silver Bluff Inc 100 Silver Bluff Drive, Canton, NC 28716
Altercare of Nobles Pond, Inc 7006 Fulton Drive, Nw, Canton, OH 44718
Pinnacle Health and Rehab 26 Pleasant St, Canton, ME 04221
Sunset Rehabilitation & Hlth C 129 South 1st Avenue, Canton, IL 61520
Laurels of Canton, The 2714 13th Street Nw, Canton, OH 44708
Renaissance Care Center 1675 East Ash Street, Canton, IL 61520
Bethany Nursing Home, Inc 626 34th Street, Nw, Canton, OH 44709
Canton Oaks 1901 S Trade Days Blvd, Canton, TX 75103
Heartland of Canton 2081 North Main Street, Canton, IL 61520
Commons Residence At Orchard Cove 1 Del Pond Drive, Canton, MA 02021

SD · Nursing Home

Custer Regional Senior Care 1065 Montgomery St, Custer, SD 57730
Avera Mother Joseph Manor Retirement Community 1002 North Jay Street, Aberdeen, SD 57401
Good Samaritan Society Selby 4861 Lincoln Avenue, Selby, SD 57472
Avera Eureka Health Care Center 202 J Avenue Post Office Box 40, Eureka, SD 57437
Aurora Brule Nursing Home Inc 408 South Johnston Street, White Lake, SD 57383
Meadowbrook Care and Rehabilitation Center 2500 Arrowhead Dr, Rapid City, SD 57702
Wilmot Care Center Inc 501 4th St, Wilmot, SD 57279
Good Samaritan Society New Underwood 412 South Madison Post Office Box 327, New Underwood, SD 57761
Armour Care and Rehabilitation Center 106 Braddock Post Office Box 489, Armour, SD 57313
Good Samaritan Society Miller 421 East 4th St, Miller, SD 57362
United Living Community 405 First Ave, Brookings, SD 57006
Ipswich Care and Rehabilitation Center 617 Bloemendaal Drive Post Office Box 728, Ipswich, SD 57451
Wheatcrest Hills Healthcare Community 1311 Vander Horck Post Office Box 939, Britton, SD 57430
Bethesda Home of Aberdeen 1224 S High St, Aberdeen, SD 57401
Eastern Star Home of South Dakota, Inc 126 W 12th Avenue Post Office Box 150, Redfield, SD 57469
Bowdle Nursing Home 8001 W 5th Street Post Office Box 556, Bowdle, SD 57428
Palisade Healthcare Community 920 4th St, Garretson, SD 57030
Sunset Manor Avera Health 129 E Clay St, Irene, SD 57037
Mobridge Care and Rehabilitation Center 1100 4th Avenue East Post Office Box 937, Mobridge, SD 57601
Belle Fourche Healthcare Community 2200 13th Ave, Belle Fourche, SD 57717
Lake Norden Care and Rehabilitation Center 803 Park Street Post Office Box 139, Lake Norden, SD 57248
Kadoka Nursing Home 605 Maple St W Post Office Box 310, Kadoka, SD 57543
Good Samaritan Society Corsica 455 North Dakota, Corsica, SD 57328
Estelline Nursing and Care Center 205 Fjerestad Avenue East Post Office Box 130, Estelline, SD 57234
Sunquest Healthcare Center 1345 Michigan Avenue Sw, Huron, SD 57350
Philip Nursing Home 503 West Pine Post Office Box 790, Philip, SD 57567
Clarkson Health Care 1015 Mt View Rd, Rapid City, SD 57702
Watertown Care and Rehabilitation Center 415 Fourth Ave Ne, Watertown, SD 57201
Bethel Lutheran Home 1001 S Egan Ave, Madison, SD 57042
Alcester Care and Rehab Center, Inc 101 Church Street, Alcester, SD 57001
Good Samaritan Society Canistota 700 West Main St, Canistota, SD 57012
The Neighborhoods At Brookview 2421 Yorkshire Dr, Brookings, SD 57006
Good Samaritan Society Howard 300 West Hazel Avenue, Howard, SD 57349
Tekakwitha Living Center 6 E Chestnut, Sisseton, SD 57262
Bella Vista Care and Rehabilitation Center 302 St Cloud Street, Rapid City, SD 57701
Manorcare Health Services 400 8th Avenue Nw, Aberdeen, SD 57401
Good Samaritan Society Deuel County 913 Colonel Pete Street, Clear Lake, SD 57226
Avera Bormann Manor 501 North 4th Street, Parkston, SD 57366
Good Samaritan Society De Smet 411 Calumet Avenue Nw, De Smet, SD 57231
Highmore Health 410 8th Street Se, Highmore, SD 57345