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Good Samaritan Society - Mary Jane Brown
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Ratings Deep Dive
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Jan 14, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| — | Jan 14, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| — | Jan 14, 2025 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D |
| — | Jan 14, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E |
| — | Jan 14, 2025 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D |
0.9 RN Hours / Resident / Day
3.6 Total Nurse Hours / Resident / Day
33.3% RN Turnover Rate
1.0 Long-Stay QM Rating
— Short-Stay QM Rating
43.8 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST SANFORD
OPERATIONAL/MANAGERIAL CONTROL THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
OPERATIONAL/MANAGERIAL CONTROL CHESLEY, STEPHAN
OPERATIONAL/MANAGERIAL CONTROL JONES, JUSTIN
OPERATIONAL/MANAGERIAL CONTROL MORRISON, TONY
CORPORATE DIRECTOR BROWN, GEORGE
CORPORATE DIRECTOR DYKHOUSE, DANA
CORPORATE DIRECTOR ENGBRECHT, WESLEY
CORPORATE DIRECTOR GASSEN, WILLIAM
CORPORATE DIRECTOR GULSVIG, NEIL
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Aug 6, 2024 | Fine | $57,045 |
| Mar 23, 2023 | Fine | $5,000 |
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