Golden Living Center - Boaz - Boaz Nursing Home
General Information
UPDATEFederal Provider Number
15063
Provider Name
GOLDEN LIVING CENTER - BOAZ
Provider Address
600 CORLEY AVENUE
BOAZ, AL 35957
BOAZ, AL 35957
Provider Phone Number
(256) 593-8380
Provider SSA County
470
Provider County Name
Marshall
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC BOAZ LLC
Date First Approved to Provide Medicare and Medicaid services
1970-12-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.82778
Reported LPN Staffing Hours per Resident per Day
0.60333
Reported RN Staffing Hours per Resident per Day
0.83167
Reported Licensed Staffing Hours per Resident per Day
1.43500
Reported Total Nurse Staffing Hours per Resident per Day
3.26278
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03278
Expected CNA Staffing Hours per Resident per Day
2.43603
Expected LPN Staffing Hours per Resident per Day
0.61947
Expected RN Staffing Hours per Resident per Day
0.93529
Expected Total Nurse Staffing Hours per Resident per Day
3.99078
Adjusted CNA Staffing Hours per Resident per Day
1.84104
Adjusted LPN Staffing Hours per Resident per Day
0.80838
Adjusted RN Staffing Hours per Resident per Day
0.66442
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29558
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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