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GOOD SAMARITAN SOCIETY - FAIRFIELD GLADE
NPI 1245539576
Skilled Nursing Facility in Crossville, TN

Active since March 25, 2011CLIA 44D2023583 · Waiver
3/5
Overall Rating
100 SAMARITAN WAY, CROSSVILLE, TN 38558(931) 456-1576(931) 456-1575 Get Directions Write a Review

NPPES record last updated: November 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Good Samaritan Society - Fairfield Glade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SAMARITAN SOCIETY - FAIRFIELD GLADE (NPI 1245539576) is a healthcare organization registered as a skilled nursing facility in Crossville, Tennessee and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Raye Nae Nylander, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1245539576
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address100 SAMARITAN WAYCrossville, TN 38558
Mailing Address4800 W 57th StSioux Falls, SD 57108-2239
Phone(931) 456-1576
Fax(931) 456-1575
Organization SubpartYes
Authorized OfficialRaye Nae NylanderExecutive Vice President · (605) 362-3100
Enumeration DateMarch 25, 2011
Last NPPES UpdateNovember 28, 2021
NPPES CertifiedNovember 28, 2021
✔ NPI 1245539576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
100 SAMARITAN WAY, Crossville, TN 38558
Open in Google Maps ↗

Other Names 1

Doing Business AsGood Samaritan Society - Fairfield Glade

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2023583

Evangelical Lutheran Good Samaritan Society, The Dba Good Samaritan Society-Fairfield Glade · Fairfield Glade, TN
Active · expires Apr 26, 2027
CLIA Number44D2023583
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorMichael Brandon Newman
Laboratory Phone(931) 456-1576
Laboratory LocationEvangelical Lutheran Good Samaritan Society, The Dba Good Samaritan Society-Fairfield Glade100 Samaritan Way, Fairfield Glade, TN 38558
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Good Samaritan Society - Fairfield Glade (CMS certification number 445506), from CMS Care Compare.

Good Samaritan Society - Fairfield Glade

Nursing home · Crossville, TN
3/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number445506
Certified Beds60 beds54 residents per day on average
Medicare & Medicaid Participant SinceOctober 28, 2011
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
41.83
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.97 · LPN 1.24 · RN 0.67
3.88 hrs per resident per day
Weekend Nurse Staffing
3.34 hrs per resident per day
Physical Therapist Staffing
0.2 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
63.5%
Registered Nurse Turnover
58.3%
Administrators Who Have Left
In the past year.
3
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
7
Substantiated Complaints
0
Fines
1 totaling $7,445.75
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANA ALICIA LOWE PT
Physical Medicine & Rehabilitation
100 SAMARITAN WAY
CROSSVILLE, TN 38558
Cumberland County (931) 456-1576
FAIRFIELD GLADE OF TENNESSEE, LLC
Skilled Nursing Facility
100 SAMARITAN WAY
CROSSVILLE, TN 38558
Cumberland County (931) 710-0908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Evangelical Lutheran Good Samaritan Society's NPI number?

The NPI number for The Evangelical Lutheran Good Samaritan Society is 1245539576. It was assigned to this organization in the NPPES registry on March 25, 2011. The provider is doing business as Good Samaritan Society - Fairfield Glade.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 100 Samaritan Way, Crossville, TN 38558. The listed phone number is (931) 456-1576.

What is The Evangelical Lutheran Good Samaritan Society's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does The Evangelical Lutheran Good Samaritan Society hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2023583) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is The Evangelical Lutheran Good Samaritan Society a Medicare-certified nursing home?

Yes. Good Samaritan Society - Fairfield Glade is a Medicare-certified nursing home with 60 certified beds.

What quality rating does The Evangelical Lutheran Good Samaritan Society have?

CMS rates Good Samaritan Society - Fairfield Glade 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does The Evangelical Lutheran Good Samaritan Society accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list The Evangelical Lutheran Good Samaritan Society as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Evangelical Lutheran Good Samaritan Society was last updated on November 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.