Golden Age Nursing Home - Braymer Nursing Home
General Information
UPDATEFederal Provider Number
265718
Provider Name
GOLDEN AGE NURSING HOME
Provider Address
12498 SE HIGHWAY 116
BRAYMER, MO 64624
BRAYMER, MO 64624
Provider Phone Number
(660) 645-2243
Provider SSA County
120
Provider County Name
Caldwell
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
83
Number of Residents in Certified Beds
34
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
2001-05-23
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.55294
Reported LPN Staffing Hours per Resident per Day
0.45441
Reported RN Staffing Hours per Resident per Day
0.70588
Reported Licensed Staffing Hours per Resident per Day
1.16029
Reported Total Nurse Staffing Hours per Resident per Day
3.71323
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05882
Expected CNA Staffing Hours per Resident per Day
2.36880
Expected LPN Staffing Hours per Resident per Day
0.64799
Expected RN Staffing Hours per Resident per Day
0.89155
Expected Total Nurse Staffing Hours per Resident per Day
3.90834
Adjusted CNA Staffing Hours per Resident per Day
2.64444
Adjusted LPN Staffing Hours per Resident per Day
0.58205
Adjusted RN Staffing Hours per Resident per Day
0.59159
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82968
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
2014-12-11
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
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
48
Cycle 2 Total Health Score
144
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-12-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
52.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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