General Information: GOOD SAMARITAN SOCIETY - BOTTINEAU
Nursing home name GOOD SAMARITAN SOCIETY - BOTTINEAU
Address725 E 10TH ST
BOTTINEAU, ND 58318
Phone number (701) 228-3796
Located within a hospital No
Type of ownership Non profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils RESIDENT
Certified number of beds 81
Total number of residents 69
Perc of occupied beds 85
Sprinkler status fully sprinklered
Last health survey date 11/11/2009
Fire survey date: 08/25/2009
Ratings Summary: GOOD SAMARITAN SOCIETY - BOTTINEAU
Overall rating 4 out of 5 stars
4 out of 5 stars
Nursing Home Staffing 4 out of 5 stars
4 out of 5 stars
Registered Nurses only 3 out of 5 stars
3 out of 5 stars
Health Inspections 3 out of 5 stars
3 out of 5 stars
Quality Measures 3 out of 5 stars
3 out of 5 stars
Nursing Home Staffing Info: GOOD SAMARITAN SOCIETY - BOTTINEAU
National AverageGOOD SAMARITAN SOCIETY - BOTTINEAU
Overall staff rating Not Available. 4 out of 5 stars
4 out of 5 stars
Registered Nurses only rating Not Available 3 out of 5 stars
3 out of 5 stars
Total Number of Residents 94.2 69
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.4 hours 1.71 hours
Registered Nurses Hours per Residents per Day 0.6 hours 0.61 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.8 hours 1.1 hours
Certified Nursing Assistants Hours per Residents per Day 0.6 hours 0.61 hours
Health Inpections: GOOD SAMARITAN SOCIETY - BOTTINEAU
Inspection Results: 11/11/2009
CorrectedCategoryDeficiencySeverity
12/18/2009Pharmacy Service Deficiencies At least once a month, have a licensed pharmacist check the drugs that each resident takes. D
12/18/2009Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. D
12/18/2009Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. E
12/18/2009Mistreatment Deficiencies Protect residents from mistreatment, neglect, and/or theft of personal property. D
12/04/2009Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. D
Inspection Results: 11/19/2008
CorrectedCategoryDeficiencySeverity
12/19/2008Pharmacy Service Deficiencies Properly mark drugs and other similar products. B
12/30/2008Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. G
11/21/2008Resident Rights Deficiencies Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. C
Inspection Results: 10/25/2007
CorrectedCategoryDeficiencySeverity
11/28/2007Nutrition and Dietary Deficiencies Hire a qualified dietician. C
11/28/2007Pharmacy Service Deficiencies Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
11/28/2007Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. D
11/28/2007Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. D

Fire Safety Inpections: GOOD SAMARITAN SOCIETY - BOTTINEAU
Inspection Results: 08/25/2009
CorrectedCategoryDeficiencySeverity
10/05/2009Building Service Equipment Deficiencies properly protected cooking facilities. D
10/05/2009Emergency Plans and Fire Drills Deficiencies record of quarterly fire drills for each shift under varying conditions. C
Inspection Results: 09/09/2008
CorrectedCategoryDeficiencySeverity
11/28/2008Illumination and Emergency Power Deficiencies proper backup exit lighting. F
10/01/2008Automatic Sprinkler Systems Deficiencies automatic sprinkler systems that have been maintained in working order. E
10/17/2008Electrical Deficiencies properly installed electrical wiring and equipment. D
09/26/2008Exits and Egress Deficiencies corridors or aisles that are unobstructed and are at least 8 feet in width. E
09/26/2008Exits and Egress Deficiencies exits that are accessible at all times. E
09/26/2008Hazardous Area Deficiencies construction that can resist fire for one hour or an approved fire extinguishing system. E
10/17/2008Corridor Walls and Doors Deficiencies corridors that are separated from common areas by walls constructed to limit the passage of smoke. E
Inspection Results: 08/28/2007
CorrectedCategoryDeficiencySeverity
10/12/2007Miscellaneous Deficiencies fire safety features required by current fire safety codes. F

Resident Complaints: GOOD SAMARITAN SOCIETY - BOTTINEAU
Not available

Quality Measures: GOOD SAMARITAN SOCIETY - BOTTINEAU
Quality MeasuresNational AverageGOOD SAMARITAN SOCIETY - BOTTINEAU
Overall quality rating Not Available 3 out of 5 stars
3 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who spend most of their time in bed or in a chair 4% 0%
Percent of low-risk long-stay residents who have pressure sores 2% 4%
Percent of high-risk long-stay residents who have pressure sores 11% 8%
Percent of long-stay residents who have moderate to severe pain 3% 7%
Percent of long-stay residents given influenza vaccination during the flu season 91% 90+%
Percent of long-stay residents who lose too much weight 8% 13%
Percent of long-stay residents who had a urinary tract infection 9% 9%
Percent of long-stay residents who were physically restrained 3% 0%
Percent of long-stay residents whose ability to move about in and around their room got worse 11% 18%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder 5% 4%
Percent of long-stay residents whose need for help with daily activities has increased 14% 17%
Percent of long-stay residents who were assessed and given pneumococcal vaccination 89% 90+%
Percent of low-risk long-stay residents who lose control of their bowels or bladder 50% 45%
Percent of long-stay residents who are more depressed or anxious 14% 25%
Short-Stay Residents
Percent of short-stay residents who had moderate to severe pain 19% 27%
Percent of short-stay residents given influenza vaccination during the flu season 83% 90+%
Percent of short-stay residents who were assessed and given pneumococcal vaccination 83% 87%
Percent of short-stay residents who have pressure sores 13% 10%
Percent of short-stay residents who have delirium 2% 0%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety
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