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Good Samaritan Society - Fairlawn Village
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Good Samaritan Society - Fairlawn Village

Overview
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Gresham, Oregon
Medicare and Medicaid

Good Samaritan Society - Fairlawn Village is a nursing home located in Gresham, Oregon with 82 beds and an average of 60 residents per day.

Address
3457 NE Division Street
Gresham, Oregon 97030
Contact
Scoreboard
Overall:
Health inspection:
Quality measures:
Long-term stay quality measures:
Short-term stay quality measures:
Staffing:
Nurse staffing:
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Facts & features
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Continuing care retirement community: No
Automatic sprinkler systems: Yes
Council: Family and resident council
Provider type: Medicare and Medicaid
Date first approved to provide Medicare and Medicaid services: June 14, 1976
Number of beds: 82
Number of residents per day: 60
Percent of beds that are filled: 74% of beds are filled
Health inspection
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Health inspection rating

Health inspection ratings are based on the number, scope, and severity of deficiencies identified during the three most recent annual inspection surveys, as well as substantiated findings from the most recent 36 months of complaint investigations. All deficiency findings are weighted by scope and severity. This measure also takes into account the number of revisits required to ensure that deficiencies identified during the health inspection survey have been corrected.

Number of health deficiencies by year

A health citation is a finding that a nursing home failed to meet one or more federal health requirements during an annual health inspection or a complaint inspection. Inspectors identify health citations by observing the nursing home's performance, its practices, or the conditions in the facility.

2019 15
2018 2
2017 4
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Staff
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Staff rating
Nurse staff rating

Staff ratings are based on nursing home staffing levels. They are based on two measures: (1) Registered nurse hours per resident per day and (2) Total nurse staffing (registered nurses, licensed practical nurses, and nurse aides) hours per resident per day.

Higher staffing hours per resident per day means that each resident receives more hours of care.

At Good Samaritan Society - Fairlawn Village, residents receive around 4.7 hours of care each day.

Nurse staffing hours per resident per day
Nurse aid staffing hours per resident per day 3.3 hours
Licensed practical nurse hours per resident per day 0.4 hours
Registered nurse staffing hours per resident per day 1.1 hours
Total nurse staffing hours per resident per day 4.7 hours
Quality of care
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Overall quality of care rating
Long-term stay quality of care rating
Short-term stay quality of care rating

The quality of care rating is based on a variety of measures including:

Percent of residents whose need for help with activities of daily living has increased
Percent of residents whose ability to move independently worsened
Percent of high-risk residents with pressure ulcers
Percent of residents who have/had a catheter inserted and left in their bladder
Percent of residents with a urinary tract infection
Percent of residents experiencing one or more falls with major injury
Percent of residents who received an antipsychotic medication
Number of hospitalizations
Number of outpatient emergency department visits
Management
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Good Samaritan Society - Fairlawn Village is operated by The Evangelical Lutheran Good Samaritan Society. It was first approved to provide Medicare and Medicaid services on June 14, 1976.
Ownership
Name Role Ownership percentage Association date

Rebecca Bollig

Individual
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Director Not Applicable Since 06/21/2017

Norval Buckneberg

Individual
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Director Not Applicable Since 06/21/2017

Randy Bury

Individual
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Officer Not Applicable Since 01/01/2019

Randy Bury

Individual
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Director Not Applicable Since 01/01/2019

Patricia Camero

Individual
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Director Not Applicable Since 06/16/2015

Javier Espinosa

Individual
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Director Not Applicable Since 06/29/2018

Alan Gard

Individual
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Director Not Applicable Since 06/24/2014

Gwen Halaas

Individual
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Director Not Applicable Since 06/25/2013

Joseph Herdina

Individual
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Officer Not Applicable Since 01/22/2012

Joseph Herdina

Individual
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Managing Employee Not Applicable Since 06/12/2017

Chad Jungman

Individual
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Officer Not Applicable Since 01/16/2019

Kelby Krabbenhoft

Individual
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Director Not Applicable Since 01/01/2019

Heather Krzmarzick

Individual
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Director Not Applicable Since 06/16/2015

Lee Laaveg

Individual
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Director Not Applicable Since 06/28/2016

William Marlette

Individual
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Officer Not Applicable Since 01/01/2019

Lisa Melby

Individual
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Director Not Applicable Since 06/21/2017

Dena Muraski

Individual
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Managing Employee Not Applicable Since 01/03/2018

Scott Petersen

Individual
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Director Not Applicable Since 06/29/2018

Timothy Phillippe

Individual
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Director Not Applicable Since 06/21/2017

John Racek

Individual
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Director Not Applicable Since 06/25/2013

Dina Robinson

Individual
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Director Not Applicable Since 06/28/2016

Jill Schumann

Individual
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Director Not Applicable Since 06/15/2015

Thomas Syverson

Individual
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Officer Not Applicable Since 02/28/2014

The Evangelical Lutheran Good Samaritan Society

Organization
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Operational/Managerial Control Not Applicable Since 01/01/2019

Dale Thompson

Individual
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Director Not Applicable Since 01/01/2016

Eric Vanden Hull

Individual
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Officer Not Applicable Since 01/01/2019

Eric Vanden Hull

Individual
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Operational/Managerial Control Not Applicable Since 01/01/2019
Incidents and fines
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Number of facility reported incidents 1
Number of substantiated complaints 4
Number of fines 1
Total fines $6,500
Number of payment denials 0
Number of penalties 1
Map
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Nearby
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Test
Federal Provider Number 385133
Ownership Type
Special Focus Status
Abuse Icon
Most Recent Health Inspection More Than 2 Years Ago
Provider Changed Ownership in Last 12 Months
Overall Rating 5
Health Inspection Rating 3
QM Rating 5
Long-Stay QM Rating 5
Short-Stay QM Rating 5
Staffing Rating 5
RN Staffing Rating 5