Golden Age Manor Nursing Center - Dublin Nursing Home
General Information
UPDATEFederal Provider Number
455712
Provider Name
GOLDEN AGE MANOR NURSING CENTER
Provider Address
704 DOBKINS
DUBLIN, TX 76446
DUBLIN, TX 76446
Provider Phone Number
(254) 445-3370
Provider SSA County
490
Provider County Name
Erath
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOLDEN AGE MNAGEMENT COMPANY, LLC
Date First Approved to Provide Medicare and Medicaid services
1987-07-17
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
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.56818
Reported LPN Staffing Hours per Resident per Day
0.99455
Reported RN Staffing Hours per Resident per Day
0.25727
Reported Licensed Staffing Hours per Resident per Day
1.25182
Reported Total Nurse Staffing Hours per Resident per Day
2.82000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01545
Expected CNA Staffing Hours per Resident per Day
2.02388
Expected LPN Staffing Hours per Resident per Day
0.60088
Expected RN Staffing Hours per Resident per Day
1.03817
Expected Total Nurse Staffing Hours per Resident per Day
3.66294
Adjusted CNA Staffing Hours per Resident per Day
1.90122
Adjusted LPN Staffing Hours per Resident per Day
1.37377
Adjusted RN Staffing Hours per Resident per Day
0.18516
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10328
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-23
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
8
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
2
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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