Golden Living Center-fountainview Place - Portage Nursing Home
General Information
UPDATEFederal Provider Number
155187
Provider Name
GOLDEN LIVING CENTER-FOUNTAINVIEW PLACE
Provider Address
3175 LANCER ST
PORTAGE, IN 46368
PORTAGE, IN 46368
Provider Phone Number
2197629571
Provider SSA County
630
Provider County Name
Porter
Ownership Type
For profit - Corporation
Number of Certified Beds
186
Number of Residents in Certified Beds
165
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENDRICKS COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1979-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.91000
Reported LPN Staffing Hours per Resident per Day
0.93152
Reported RN Staffing Hours per Resident per Day
0.50667
Reported Licensed Staffing Hours per Resident per Day
1.43818
Reported Total Nurse Staffing Hours per Resident per Day
3.34819
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08000
Expected CNA Staffing Hours per Resident per Day
2.39439
Expected LPN Staffing Hours per Resident per Day
0.66097
Expected RN Staffing Hours per Resident per Day
1.15390
Expected Total Nurse Staffing Hours per Resident per Day
4.20927
Adjusted CNA Staffing Hours per Resident per Day
1.95731
Adjusted LPN Staffing Hours per Resident per Day
1.16973
Adjusted RN Staffing Hours per Resident per Day
0.32809
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20631
Cycle 1 Total Number of Health Deficiencies
29
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
17
Cycle 1 Health Deficiency Score
156
Cycle 1 Standard Survey Health Date
2014-09-22
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
78
Cycle 1 Total Health Score
234
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
50
Cycle 2 Total Health Score
50
Cycle 3 Total Number of Health Deficiencies
27
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
17
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2012-05-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
128
Total Weighted Health Survey Score
188.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
53
Number of Fines
2
Total Amount of Fines in Dollars
17748
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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VALPARAISO IN 46383 | 9.1 miles away
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