Golden Livingcenter-heritage Square - Greendale Nursing Home
General Information
UPDATEFederal Provider Number
525549
Provider Name
GOLDEN LIVINGCENTER-HERITAGE SQUARE
Provider Address
5404 W LOOMIS RD
GREENDALE, WI 53129
GREENDALE, WI 53129
Provider Phone Number
4144210088
Provider SSA County
390
Provider County Name
Milwaukee
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
71
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
GGNSC GREENFIELD LLC
Date First Approved to Provide Medicare and Medicaid services
1994-08-09
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.44155
Reported LPN Staffing Hours per Resident per Day
0.96197
Reported RN Staffing Hours per Resident per Day
1.30493
Reported Licensed Staffing Hours per Resident per Day
2.26690
Reported Total Nurse Staffing Hours per Resident per Day
4.70845
Reported Physical Therapist Staffing Hours per Resident Per Day
0.38803
Expected CNA Staffing Hours per Resident per Day
2.36711
Expected LPN Staffing Hours per Resident per Day
0.77213
Expected RN Staffing Hours per Resident per Day
1.58504
Expected Total Nurse Staffing Hours per Resident per Day
4.72427
Adjusted CNA Staffing Hours per Resident per Day
2.53086
Adjusted LPN Staffing Hours per Resident per Day
1.03407
Adjusted RN Staffing Hours per Resident per Day
0.61516
Adjusted Total Nurse Staffing Hours per Resident per Day
4.01740
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-12-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-10-03
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
16
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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
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