Golden Livingcenter - St Matthews - Louisville Nursing Home
General Information
UPDATEFederal Provider Number
185192
Provider Name
GOLDEN LIVINGCENTER - ST MATTHEWS
Provider Address
227 BROWNS LANE
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
Provider Phone Number
5028932595
Provider SSA County
550
Provider County Name
Jefferson
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
122
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC LOUISVILLE ST. MATTHEWS LLC
Date First Approved to Provide Medicare and Medicaid services
1988-07-08
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
1
Overall Rating Footnote
Health Inspection Rating
1
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
1.76352
Reported LPN Staffing Hours per Resident per Day
0.80451
Reported RN Staffing Hours per Resident per Day
0.69590
Reported Licensed Staffing Hours per Resident per Day
1.50041
Reported Total Nurse Staffing Hours per Resident per Day
3.26393
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11230
Expected CNA Staffing Hours per Resident per Day
2.45438
Expected LPN Staffing Hours per Resident per Day
0.60186
Expected RN Staffing Hours per Resident per Day
0.99007
Expected Total Nurse Staffing Hours per Resident per Day
4.04631
Adjusted CNA Staffing Hours per Resident per Day
1.76303
Adjusted LPN Staffing Hours per Resident per Day
1.10946
Adjusted RN Staffing Hours per Resident per Day
0.52519
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25150
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
327
Cycle 2 Standard Health Survey Date
2013-12-12
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
8
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
134.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
31005
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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