Golden Livingcenter - Mt Holly - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
185176
Provider Name
GOLDEN LIVINGCENTER - MT HOLLY
Provider Address
446 MT. HOLLY AVE
LOUISVILLE, KY 40206
LOUISVILLE, KY 40206
Provider Phone Number
5028971646
Provider SSA County
550
Provider County Name
Jefferson
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC LOUISVILLE MT. HOLLY LLC
Date First Approved to Provide Medicare and Medicaid services
1984-12-20
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.99072
Reported LPN Staffing Hours per Resident per Day
1.15309
Reported RN Staffing Hours per Resident per Day
1.25206
Reported Licensed Staffing Hours per Resident per Day
2.40515
Reported Total Nurse Staffing Hours per Resident per Day
4.39587
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08814
Expected CNA Staffing Hours per Resident per Day
2.44036
Expected LPN Staffing Hours per Resident per Day
0.71923
Expected RN Staffing Hours per Resident per Day
1.22782
Expected Total Nurse Staffing Hours per Resident per Day
4.38741
Adjusted CNA Staffing Hours per Resident per Day
2.00160
Adjusted LPN Staffing Hours per Resident per Day
1.33068
Adjusted RN Staffing Hours per Resident per Day
0.76195
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03867
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
40
Cycle 1 Standard Survey Health Date
2014-07-10
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-06-06
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
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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