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Good Samaritan Ambassador

8100 Medicine Lake Road, New Hope, MN 55427
7634174171
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Overall CMS Rating

5.0/5

vs State Average: 3.2 stars

5.0/5

Health Inspections

vs State Average: 2.8/5

5.0/5

Staffing Level

vs State Average: 4.1/5

4.0/5

Quality Measures

vs State Average: 3.2/5

0 penalties in last 3 years
Penalties
vs State Average: 1 penalties

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Ratings Deep Dive

Score
5.0
State Average
2.8
National Average
2.8
4 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Jan 9, 2025 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D
Jan 9, 2025 Provide and implement an infection prevention and control program. D
Mar 16, 2023 Allow residents to self-administer drugs if determined clinically appropriate. D
Mar 16, 2023 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D
Score
5.0
State Average
4.1
National Average
2.9
1.8 RN Hours / Resident / Day
4.7 Total Nurse Hours / Resident / Day
23.5% RN Turnover Rate
Score
4.0
State Average
3.2
National Average
3.6
4.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
75.3 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 MINSKE, ANNA
OPERATIONAL/MANAGERIAL CONTROL MORRISON, TONY
OPERATIONAL/MANAGERIAL CONTROL MUJIR, IBRAHIM
CORPORATE DIRECTOR BROWN, GEORGE
CORPORATE DIRECTOR DYKHOUSE, DANA
CORPORATE DIRECTOR ENGBRECHT, WESLEY
CORPORATE DIRECTOR GASSEN, WILLIAM
CORPORATE DIRECTOR GULSVIG, NEIL
Recent Penalties

No penalty records found.

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