Golden Livingcenter-gamma Road Lodge - Wellsville Nursing Home
General Information
UPDATEFederal Provider Number
265398
Provider Name
GOLDEN LIVINGCENTER-GAMMA ROAD LODGE
Provider Address
250 E LOCUST
WELLSVILLE, MO 63384
WELLSVILLE, MO 63384
Provider Phone Number
5736842002
Provider SSA County
690
Provider County Name
Montgomery
Ownership Type
For profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC WELLSVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1989-11-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.12500
Reported LPN Staffing Hours per Resident per Day
0.76548
Reported RN Staffing Hours per Resident per Day
0.37381
Reported Licensed Staffing Hours per Resident per Day
1.13929
Reported Total Nurse Staffing Hours per Resident per Day
3.26429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03393
Expected CNA Staffing Hours per Resident per Day
2.35870
Expected LPN Staffing Hours per Resident per Day
0.64683
Expected RN Staffing Hours per Resident per Day
0.90973
Expected Total Nurse Staffing Hours per Resident per Day
3.91526
Adjusted CNA Staffing Hours per Resident per Day
2.21059
Adjusted LPN Staffing Hours per Resident per Day
0.98225
Adjusted RN Staffing Hours per Resident per Day
0.30702
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36070
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-07-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-09-26
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
New Florence Nursing And Care Center
515 Picnic Street |
NEW FLORENCE MO 63363 | 12.4 miles away
Jonesburg Nursing & Rehab
308 Cedar Avenue, Po Box 218 |
JONESBURG MO 63351 | 20.6 miles away
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