Kansas Nursing Homes >> Edwardsville Nursing Homes >> Golden Livingcenter - Kaw River

Golden Livingcenter - Kaw River - Edwardsville Nursing Home

General Information

UPDATE
Federal Provider Number
175219
Provider Name
GOLDEN LIVINGCENTER - KAW RIVER
Provider Address
750 BLAKE ST
EDWARDSVILLE, KS 66111
Provider Phone Number
9134225832
Provider SSA County
986
Provider County Name
Wyandotte
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC EDWARDSVILLE II LLC
Date First Approved to Provide Medicare and Medicaid services
1992-03-01
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.69792
Reported LPN Staffing Hours per Resident per Day
0.39896
Reported RN Staffing Hours per Resident per Day
0.90417
Reported Licensed Staffing Hours per Resident per Day
1.30313
Reported Total Nurse Staffing Hours per Resident per Day
3.00105
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04271
Expected CNA Staffing Hours per Resident per Day
2.33054
Expected LPN Staffing Hours per Resident per Day
0.62998
Expected RN Staffing Hours per Resident per Day
1.01330
Expected Total Nurse Staffing Hours per Resident per Day
3.97382
Adjusted CNA Staffing Hours per Resident per Day
1.78765
Adjusted LPN Staffing Hours per Resident per Day
0.52563
Adjusted RN Staffing Hours per Resident per Day
0.66673
Adjusted Total Nurse Staffing Hours per Resident per Day
3.04416
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-07-17
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
22
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
180
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
180
Total Weighted Health Survey Score
102.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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