Golden Living Center-bloomington - Bloomington Nursing Home
General Information
UPDATEFederal Provider Number
155278
Provider Name
GOLDEN LIVING CENTER-BLOOMINGTON
Provider Address
155 E BURKS DR
BLOOMINGTON, IN 47401
BLOOMINGTON, IN 47401
Provider Phone Number
(812) 332-4437
Provider SSA County
520
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
153
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENDRICKS COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1985-06-27
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.59961
Reported LPN Staffing Hours per Resident per Day
0.73643
Reported RN Staffing Hours per Resident per Day
0.79574
Reported Licensed Staffing Hours per Resident per Day
1.53217
Reported Total Nurse Staffing Hours per Resident per Day
3.13178
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06550
Expected CNA Staffing Hours per Resident per Day
2.42320
Expected LPN Staffing Hours per Resident per Day
0.65872
Expected RN Staffing Hours per Resident per Day
1.07353
Expected Total Nurse Staffing Hours per Resident per Day
4.15545
Adjusted CNA Staffing Hours per Resident per Day
1.61974
Adjusted LPN Staffing Hours per Resident per Day
0.92792
Adjusted RN Staffing Hours per Resident per Day
0.55385
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03791
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-02-14
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
36
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2012-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
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
16
Cycle 3 Standard Health Survey Date
2011-10-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
79.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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