Golden Livingcenter - Wabasso - Wabasso Nursing Home
General Information
UPDATEFederal Provider Number
245400
Provider Name
GOLDEN LIVINGCENTER - WABASSO
Provider Address
660 MAPLE STREET
WABASSO, MN 56293
WABASSO, MN 56293
Provider Phone Number
(507) 342-5166
Provider SSA County
630
Provider County Name
Redwood
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC WABASSO LLC
Date First Approved to Provide Medicare and Medicaid services
1986-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.67742
Reported LPN Staffing Hours per Resident per Day
0.57903
Reported RN Staffing Hours per Resident per Day
0.88065
Reported Licensed Staffing Hours per Resident per Day
1.45968
Reported Total Nurse Staffing Hours per Resident per Day
3.13710
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04194
Expected CNA Staffing Hours per Resident per Day
1.94634
Expected LPN Staffing Hours per Resident per Day
0.59722
Expected RN Staffing Hours per Resident per Day
0.98382
Expected Total Nurse Staffing Hours per Resident per Day
3.52739
Adjusted CNA Staffing Hours per Resident per Day
2.11468
Adjusted LPN Staffing Hours per Resident per Day
0.80472
Adjusted RN Staffing Hours per Resident per Day
0.66884
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58490
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-03-12
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-06-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
6.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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