Golden Livingcenter - Hillcreek - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
185095
Provider Name
GOLDEN LIVINGCENTER - HILLCREEK
Provider Address
3116 BRECKINRIDGE LANE
LOUISVILLE, KY 40220
LOUISVILLE, KY 40220
Provider Phone Number
5024599120
Provider SSA County
550
Provider County Name
Jefferson
Ownership Type
For profit - Partnership
Number of Certified Beds
172
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC LOUISVILLE HILLCREEK LLC
Date First Approved to Provide Medicare and Medicaid services
1970-06-15
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.02241
Reported LPN Staffing Hours per Resident per Day
1.28491
Reported RN Staffing Hours per Resident per Day
0.86767
Reported Licensed Staffing Hours per Resident per Day
2.15259
Reported Total Nurse Staffing Hours per Resident per Day
4.17499
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13233
Expected CNA Staffing Hours per Resident per Day
2.46491
Expected LPN Staffing Hours per Resident per Day
0.65393
Expected RN Staffing Hours per Resident per Day
1.22890
Expected Total Nurse Staffing Hours per Resident per Day
4.34775
Adjusted CNA Staffing Hours per Resident per Day
2.01321
Adjusted LPN Staffing Hours per Resident per Day
1.63086
Adjusted RN Staffing Hours per Resident per Day
0.52756
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87073
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
614
Cycle 2 Standard Health Survey Date
2013-06-15
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
254.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
2
Total Amount of Fines in Dollars
66095
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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