Good Samaritan Society - Pine River

518 Jefferson Avenue, Po Box 29
Pine River, MN 56474
Cass County
Phone: 218-587-4423
Provider Number: 245476
Last Inspection: 06/18/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
50
Number of Residents
Number of
Residents
44
Number of Beds Available
Beds Available
6
Percent Occupancy
Percent Occupancy
88%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Both
Type of Ownership
Type of Ownership
Non profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • MN
  • USA
  • 0
  • 4
  • 21
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 0
  • 0
  • 20
Lower Numbers are Better

Details by Inspection Date

 

1/10/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 2/19/2013
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 2/1/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 2/19/2013
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 2/19/2013
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 2/19/2013
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/19/2013


 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MN State Avg
Number of Residents 44 35.00 67.56
Registered Nurses 1.14 0.92 0.84
Licensed Practical / Vocational Nurses 0.92 0.89 0.72
Certified Nursing Assistants 2.08 2.14 2.37
Total Staff Hours 4.14 3.94 3.92

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MN State Avg%
High Risk Long Stay Residents With Pressure Ulcers 4 7 4
Long Stay Residents Experiencing One or More Falls with Major Injury 4 3 4
Long Stay Residents Who Have Depressive Symptoms 5 4 5
Long Stay Residents Who Lose Too Much Weight 15 11 6
Long Stay Residents Who Received an Antipsychotic Medication 6 9 13
Long Stay Residents Who Self Report Moderate to Severe Pain 31 24 11
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 17 5
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 2 8 2
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 12 14 14
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 2 9 3
Long Stay Residents With a Urinary Tract Infection 7 5 4
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 31 31 48
Short Stay Residents Who Newly Received an Antipsychotic Medication 0 2 1
Short Stay Residents Who Self Report Moderate to Severe Pain 39 32 22
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 2 27 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 2 33 17
Short Stay Residents With Pressure Ulcers That Are New or Worsened 3 2 1