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Good Samaritan Society-Peoria Good Shepherd

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About Good Samaritan Society-Peoria Good Shepherd

General Information

Legal Business NameThe Evangelical Lutheran Good Samaritan Society
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 5, 1988 (28 years)
Capacity150
Residents80
Percent Occupied53%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Good Samaritan Society-Peoria Good Shepherd

Good Samaritan Society-Peoria Good Shepherd
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Arizona Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

April 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionListen to the resident groups and act on their complaints and suggestions that affect resident care and life.
ESomePotential for HarmHealth InspectionSend unopened mail from residents and promptly deliver unopened mail to residents.
DFewPotential for HarmComplaint+InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaint+InspectionEnsure 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.
DFewPotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaint+InspectionDevelop 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.
DFewPotential for HarmComplaint+InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
DFewPotential for HarmComplaint+Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
BSomePotential for Minimal HarmComplaint+InspectionGive residents a notice of rights, rules, services and charges.

April 8, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

January 30, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaint+InspectionGive each resident enough fluids to keep them healthy and prevent dehydration.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionDevelop 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.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

January 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionNo-smoking signs where oxygen is used.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
DFewPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Good Samaritan Society-Peoria Good Shepherd require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 20min
2hr 30min
ReportedExpected
CNA
1hr 5min
35min
ReportedExpected
LPN
40min
50min
ReportedExpected
RN
4hr 5min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

80.0%
81.4%
81.4%
95.2%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
97.3%
95.5%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
54.2%
Q1 2015Q2 2015Q3 2015AZ
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
26.3%
20.6%
21.4%
17.5%
Q1 2015Q2 2015Q3 2015AZ
Received an Antipsychotic Medication
38.2%
10.6%
17.6%
14.6%
Q1 2015Q2 2015Q3 2015AZ
Need for Help with ADLs has Increased
14.9%
10.4%
6.5%
10.2%
Q1 2015Q2 2015Q3 2015AZ
Self Report Moderate to Severe Pain
10.3%
4.3%
1.4%
6.7%
Q1 2015Q2 2015Q3 2015AZ
Lose Too Much Weight
0.0%
7.4%
6.7%
5.9%
Q1 2015Q2 2015Q3 2015AZ
High Risk Residents With Pressure Ulcers
2.7%
0.0%
6.2%
3.1%
Q1 2015Q2 2015Q3 2015AZ
Have Depressive Symptoms
3.4%
4.3%
6.8%
4.8%
Q1 2015Q2 2015Q3 2015AZ
With a Urinary Tract Infection
1.7%
4.3%
1.4%
3.0%
Q1 2015Q2 2015Q3 2015AZ
Experiencing One or More Falls with Major Injury
0.0%
0.0%
1.2%
3.5%
Q1 2015Q2 2015Q3 2015AZ
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.3%
Q1 2015Q2 2015Q3 2015AZ
Were Physically Restrained

Quality Measures for Short Stay Residents

77.1%
69.0%
54.5%
88.6%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Pneumococcal Vaccine
68.8%
67.3%
67.3%
87.4%
Q1 2015Q2 2015Q3 2015AZ
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
24.3%
2.3%
22.4%
19.8%
Q1 2015Q2 2015Q3 2015AZ
Self Report Moderate to Severe Pain
0.0%
0.0%
2.8%
1.9%
Q1 2015Q2 2015Q3 2015AZ
Newly Received an Antipsychotic Medication
1.5%
0.0%
4.3%
0.6%
Q1 2015Q2 2015Q3 2015AZ
With Pressure Ulcers That Are New or Worsened