Goshen Healthcare Community - Torrington Nursing Home
General Information
UPDATEFederal Provider Number
53A049
Provider Name
GOSHEN HEALTHCARE COMMUNITY
Provider Address
2009 LARAMIE STREET
TORRINGTON, WY 82240
TORRINGTON, WY 82240
Provider Phone Number
3075324038
Provider SSA County
70
Provider County Name
Goshen
Ownership Type
Government - County
Number of Certified Beds
103
Number of Residents in Certified Beds
77
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1992-01-15
Continuing Care Retirement Community
N
Special Focus Facility
Y
Provider Changed Ownership in Last 12 Months
Y
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
3
QM Rating Footnote
Staffing Rating
3
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
1.99740
Reported LPN Staffing Hours per Resident per Day
0.50000
Reported RN Staffing Hours per Resident per Day
0.80325
Reported Licensed Staffing Hours per Resident per Day
1.30325
Reported Total Nurse Staffing Hours per Resident per Day
3.30065
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01558
Expected CNA Staffing Hours per Resident per Day
2.33930
Expected LPN Staffing Hours per Resident per Day
0.55228
Expected RN Staffing Hours per Resident per Day
0.75859
Expected Total Nurse Staffing Hours per Resident per Day
3.65017
Adjusted CNA Staffing Hours per Resident per Day
2.09508
Adjusted LPN Staffing Hours per Resident per Day
0.75143
Adjusted RN Staffing Hours per Resident per Day
0.79119
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64493
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
19
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
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
232
Cycle 2 Standard Health Survey Date
2014-06-19
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
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
397
Cycle 3 Standard Health Survey Date
2013-10-25
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
199
Cycle 3 Total Health Score
596
Total Weighted Health Survey Score
240.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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