Golden Age Living Center - Stover Nursing Home
General Information
UPDATEFederal Provider Number
265655
Provider Name
GOLDEN AGE LIVING CENTER
Provider Address
404 E THIRD STREET, PO BOX 307
STOVER, MO 65078
STOVER, MO 65078
Provider Phone Number
5733774521
Provider SSA County
700
Provider County Name
Morgan
Ownership Type
Government - County
Number of Certified Beds
61
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOLDEN AGE NURSING HOME DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1996-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.29554
Reported LPN Staffing Hours per Resident per Day
0.71696
Reported RN Staffing Hours per Resident per Day
0.60446
Reported Licensed Staffing Hours per Resident per Day
1.32143
Reported Total Nurse Staffing Hours per Resident per Day
4.61696
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01786
Expected CNA Staffing Hours per Resident per Day
2.26736
Expected LPN Staffing Hours per Resident per Day
0.63610
Expected RN Staffing Hours per Resident per Day
0.92438
Expected Total Nurse Staffing Hours per Resident per Day
3.82784
Adjusted CNA Staffing Hours per Resident per Day
3.56639
Adjusted LPN Staffing Hours per Resident per Day
0.93550
Adjusted RN Staffing Hours per Resident per Day
0.48860
Adjusted Total Nurse Staffing Hours per Resident per Day
4.86188
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-15
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
4.00000
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
Nursiong Homes Nearby
Good Shepherd Care Center
1101 West Clay Road |
VERSAILLES MO 65084 | 7.1 miles away
Laurie Care Center
610 Highway O, P.o. Box 1068 |
LAURIE MO 65038 | 18.4 miles away
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