Golden Age Nh Inc - Greenwood Nursing Home
General Information
UPDATEFederal Provider Number
255307
Provider Name
GOLDEN AGE NH INC
Provider Address
2901 HIGHWAY 82 EAST
GREENWOOD, MS 38930
GREENWOOD, MS 38930
Provider Phone Number
(662) 453-6323
Provider SSA County
410
Provider County Name
Leflore
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
158
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOLDEN AGE INC
Date First Approved to Provide Medicare and Medicaid services
2004-07-01
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
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.00411
Reported LPN Staffing Hours per Resident per Day
1.23766
Reported RN Staffing Hours per Resident per Day
0.34462
Reported Licensed Staffing Hours per Resident per Day
1.58228
Reported Total Nurse Staffing Hours per Resident per Day
4.58639
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02753
Expected CNA Staffing Hours per Resident per Day
2.64494
Expected LPN Staffing Hours per Resident per Day
0.68114
Expected RN Staffing Hours per Resident per Day
0.90044
Expected Total Nurse Staffing Hours per Resident per Day
4.22652
Adjusted CNA Staffing Hours per Resident per Day
2.78690
Adjusted LPN Staffing Hours per Resident per Day
1.50815
Adjusted RN Staffing Hours per Resident per Day
0.28597
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37411
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-04-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
15
Cycle 3 Health Deficiency Score
710
Cycle 3 Standard Health Survey Date
2013-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
710
Total Weighted Health Survey Score
134.33300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
99515
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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