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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 (29 years)
Capacity150
Residents88
Percent Occupied59%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
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 1 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

June 17, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 2 days
KSomeImmediate JeopardyHealth InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
GFewActual HarmHealth InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
ESomePotential for HarmHealth InspectionEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential 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.
ESomePotential 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.
ESomePotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.

October 16, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
DFewPotential for HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaintGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaintProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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.

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 25min
2hr 25min
ReportedExpected
CNA
55min
40min
ReportedExpected
LPN
35min
60min
ReportedExpected
RN
3hr 55min
4hr
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

81.4%
92.8%
92.8%
92.8%
95.3%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.8%
91.0%
93.2%
83.5%
96.1%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
40.9%
38.5%
47.6%
-
57.4%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
21.1%
18.2%
19.4%
15.6%
22.5%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents who received an antianxiety or hypnotic medication
33.6%
16.4%
31.3%
46.1%
18.0%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents whose ability to move independently worsened
24.3%
29.3%
23.9%
24.7%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents who received an antipsychotic medication
31.0%
14.9%
39.4%
32.3%
13.4%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents whose need for help with daily activities has increased
7.4%
3.0%
7.4%
5.3%
9.3%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents who self-report moderate to severe pain
2.6%
2.6%
4.1%
11.4%
6.6%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents who lose too much weight
8.6%
7.1%
3.3%
6.1%
5.4%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of high risk long-stay residents with pressure ulcers
1.4%
0.0%
2.9%
2.7%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents who have depressive symptoms
3.9%
5.1%
6.8%
2.5%
3.7%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents with a urinary tract infection
0.0%
0.0%
0.0%
1.3%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
1.9%
3.1%
7.8%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.2%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

41.0%
55.9%
65.2%
44.2%
89.5%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
67.3%
53.7%
53.7%
53.7%
86.8%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
71.6%
73.0%
69.8%
70.5%
61.0%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of short-stay residents who made improvements in function
26.3%
14.0%
9.1%
15.7%
17.8%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of short-stay residents who self-report moderate to severe pain
5.4%
4.1%
4.8%
3.8%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of short-stay residents who newly received an antipsychotic medication
2.6%
0.0%
0.0%
0.0%
0.6%
Q4 2015Q1 2016Q2 2016Q3 2016AZ
Percentage of short-stay residents with pressure ulcers that are new or worsened