Ellsworth Good Sam Rt Village - ELLSWORTH, KS - Nursing Home Abuse and Neglect Report

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General Information

Category: Participating in Medicare and Medicaid
ELLSWORTH GOOD SAM RT VILLAGE
(785) 472-3167
1156 HIGHWAY 14
ELLSWORTH, KS 67439

Last inspected: 08/30/05
Certified Bed Count: 60
Total Residents: 49
Occupancy: 82%
Ownership: Non profit - Church related
Inside Hospital: NO

Resident Nurse: 0.91
LPN/LVN Care: 0.41
C.N.A. Care: 2.34
Total Staff: 0
Total Licensed Staff: 0
(All hours are per Resident per Day)

Resident Survey

Measure	Score	County Ave	State Ave	Updated
Percent of High-Risk Residents Who Have Pressure Sores	16 %			08/30/05
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder	65 %			08/30/05
Percent of Residents Who are More Depressed or Anxious	18 %			08/30/05
Percent of Residents Who Have Moderate to Severe Pain	22 %			08/30/05
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	2 %			08/30/05
Percent of Residents Who Lose Too Much Weight	15 %			08/30/05
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	0 %			08/30/05
Percent of Residents Who Were Physically Restrained	4 %			08/30/05
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	13 %			08/30/05
Percent of Residents Whose Need for Help With Daily Activities Has Increased	36 %			08/30/05
Percent of Residents With a Urinary Tract Infection	8 %			08/30/05
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	30 %			08/30/05
Percent of Short-Stay Residents With Delirium	3 %			08/30/05
Percent of Short-Stay Residents With Pressure Sores	8 %			08/30/05

Ellsworth Good Sam Rt Village - Nursing Home Treatment Deficiencies

Severity	Scope	Level of Nursing Home Neglect	Updated
Category	Deficiency
	Isolated	Actual harm	09/15/04
Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.



	Isolated	Actual harm	10/14/03
Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.



	Isolated	Minimal harm or potential for actual harm	08/01/02
Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.

Ellsworth Good Sam Rt Village - Nursing Home Inspections - Nursing Home Abuse Report

No inspection results have been reported.

Medicare Suppliers in ELLSWORTH

Out of 6

EVANGELICAL LUTHERAN GOOD SAMARITAN S

Durable Medical Equipment

(785)472-3167

1156 HIGHWAY 14
ELLSWORTH, KS 67439

EVANGELICAL LUTHERAN GOOD SAMARITAN S

Prosthetics

(785)472-3167

1156 HIGHWAY 14
ELLSWORTH, KS 67439

EVANGELICAL LUTHERAN GOOD SAMARITAN S

Orthotics

(785)472-3167

1156 HIGHWAY 14
ELLSWORTH, KS 67439

SEITZ DRUG CO INC

Pharmacy/Drug Store

(785)472-3212

206 N DOUGLAS AVE
ELLSWORTH, KS 67439

GRANT D GWINNER OD

Optometry/Optician

(785)472-3272

801 E 3RD ST
ELLSWORTH, KS 67439

F & M DRUGS LLC

Pharmacy/Drug Store

(785)472-3131

209 N DOUGLAS AVE
ELLSWORTH, KS 67439

Wilson Nursing Center ...