Golden Livingcenter-rose Hill - Berryville Nursing Home
General Information
UPDATEFederal Provider Number
495140
Provider Name
GOLDEN LIVINGCENTER-ROSE HILL
Provider Address
110 CHALMERS COURT
BERRYVILLE, VA 22611
BERRYVILLE, VA 22611
Provider Phone Number
5409559995
Provider SSA County
210
Provider County Name
Clarke
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC BERRYVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1984-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
1.78550
Reported LPN Staffing Hours per Resident per Day
0.54050
Reported RN Staffing Hours per Resident per Day
0.92800
Reported Licensed Staffing Hours per Resident per Day
1.46850
Reported Total Nurse Staffing Hours per Resident per Day
3.25400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05450
Expected CNA Staffing Hours per Resident per Day
2.42877
Expected LPN Staffing Hours per Resident per Day
0.63767
Expected RN Staffing Hours per Resident per Day
1.08162
Expected Total Nurse Staffing Hours per Resident per Day
4.14805
Adjusted CNA Staffing Hours per Resident per Day
1.80383
Adjusted LPN Staffing Hours per Resident per Day
0.70353
Adjusted RN Staffing Hours per Resident per Day
0.64108
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16210
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-10-23
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-22
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
24
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
52.00000
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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