Golden Livingcenter - Fullerton - Fullerton Nursing Home
General Information
UPDATEFederal Provider Number
285115
Provider Name
GOLDEN LIVINGCENTER - FULLERTON
Provider Address
P O BOX 648, 202 NORTH ESTHER
FULLERTON, NE 68638
FULLERTON, NE 68638
Provider Phone Number
3085362488
Provider SSA County
620
Provider County Name
Nance
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC FULLERTON LLC
Date First Approved to Provide Medicare and Medicaid services
1992-02-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
1.84552
Reported LPN Staffing Hours per Resident per Day
0.58209
Reported RN Staffing Hours per Resident per Day
0.37612
Reported Licensed Staffing Hours per Resident per Day
0.95821
Reported Total Nurse Staffing Hours per Resident per Day
2.80373
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03433
Expected CNA Staffing Hours per Resident per Day
2.04021
Expected LPN Staffing Hours per Resident per Day
0.59000
Expected RN Staffing Hours per Resident per Day
0.91676
Expected Total Nurse Staffing Hours per Resident per Day
3.54697
Adjusted CNA Staffing Hours per Resident per Day
2.21955
Adjusted LPN Staffing Hours per Resident per Day
0.81887
Adjusted RN Staffing Hours per Resident per Day
0.30656
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18626
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-12-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2011-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Genoa Community Hospital/ltc
P O Box 310, 606/706 Ewing Avenue |
GENOA NE 68640 | 13.2 miles away
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