Devils Lake Good Samaritan C - DEVILS LAKE, ND - Nursing Home Abuse and Neglect Report  
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General Information
Category: Participating in Medicare and Medicaid
DEVILS LAKE GOOD SAMARITAN C
(701) 662-6580
302 7TH AVE NE
DEVILS LAKE, ND 58301
Last inspected: 11/18/04
Certified Bed Count: 84
Total Residents: 69
Occupancy: 82%
Ownership: Non profit - Corporation
Inside Hospital: NO
Resident Nurse: 0.49
LPN/LVN Care: 0.56
C.N.A. Care: 2.99
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 9 %     11/18/04
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder 46 %     11/18/04
Percent of Residents Who are More Depressed or Anxious 15 %     11/18/04
Percent of Residents Who Have Moderate to Severe Pain 6 %     11/18/04
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder 8 %     11/18/04
Percent of Residents Who Lose Too Much Weight 9 %     11/18/04
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair 4 %     11/18/04
Percent of Residents Who Were Physically Restrained 4 %     11/18/04
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse 25 %     11/18/04
Percent of Residents Whose Need for Help With Daily Activities Has Increased 22 %     11/18/04
Percent of Residents With a Urinary Tract Infection 15 %     11/18/04
Percent of Short-Stay Residents Who Had Moderate to Severe Pain 30 %     11/18/04
Percent of Short-Stay Residents With Delirium 6 %     11/18/04
Percent of Short-Stay Residents With Pressure Sores 6 %     11/18/04

Devils Lake Good Samaritan C - Nursing Home Treatment Deficiencies

Severity Scope Level of Nursing Home Neglect Updated
Category Deficiency
 
Isolated Actual harm 07/24/03
Mistreatment Deficiencies Protect each resident from all abuse, physical punishment, and being separated from others.
 
Pattern Minimal harm or potential for actual harm 07/24/03
Mistreatment Deficiencies Protect residents from mistreatment, neglect, and/or theft of personal property.
 
Isolated Minimal harm or potential for actual harm 07/24/03
Mistreatment Deficiencies Keep each resident free from physical restraints, unless needed for medical treatment.
 
Isolated Minimal harm or potential for actual harm 07/19/04
Mistreatment Deficiencies Protect residents from mistreatment, neglect, and/or theft of personal property.
 
Isolated Minimal harm or potential for actual harm 07/19/04
Quality Care Deficiencies Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.

Devils Lake Good Samaritan C - Nursing Home Inspections - Nursing Home Abuse Report

No inspection results have been reported.
Medicare Suppliers in DEVILS LAKE
Out of 13
CLINIC PHARMACY INC
Durable Medical Equipment
(701)662-4427
1001 7TH ST
DEVILS LAKE, ND 58301
CLINIC PHARMACY INC
Durable Medical Equipment
(701)662-4427
1001 7TH ST
DEVILS LAKE, ND 58301
THE MERCY HOSPITAL OF DEVILS LAKE
Durable Medical Equipment
(701)662-2131
1031 7TH ST
DEVILS LAKE, ND 58301
THRIFTY DRUG STORES INC
Pharmacy/Drug Store
(701)662-3022
323 5TH ST
DEVILS LAKE, ND 58301
SELECT THERAPY LLC
Orthotics
(701)662-3544
404 4TH ST
DEVILS LAKE, ND 58301
THRIFTY DRUG STORES INC
Pharmacy/Drug Store
(701)662-3022
323 5TH ST
DEVILS LAKE, ND 58301
SELECT THERAPY LLC
Orthotics
(701)662-3544
404 4TH ST
DEVILS LAKE, ND 58301
EVANGELICAL LUTHERAN GOOD SAMARITAN S
Prosthetics
(701)662-6580
302 7TH AVE
DEVILS LAKE, ND 58301
DRS KREIN AND MOEN PC
Optometry/Optician
(701)662-4085
HWY 2 EAST
DEVILS LAKE, ND 58301
CLINIC PHARMACY INC
Durable Medical Equipment
(701)662-4427
1001 7TH ST
DEVILS LAKE, ND 58301
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