Golden Living Center-brandywine - Greenfield Nursing Home
General Information
UPDATEFederal Provider Number
155120
Provider Name
GOLDEN LIVING CENTER-BRANDYWINE
Provider Address
745 N SWOPE ST
GREENFIELD, IN 46140
GREENFIELD, IN 46140
Provider Phone Number
(317) 462-9221
Provider SSA County
290
Provider County Name
Hancock
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
128
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1970-12-09
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
1.69587
Reported LPN Staffing Hours per Resident per Day
1.09132
Reported RN Staffing Hours per Resident per Day
0.37562
Reported Licensed Staffing Hours per Resident per Day
1.46694
Reported Total Nurse Staffing Hours per Resident per Day
3.16281
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07810
Expected CNA Staffing Hours per Resident per Day
2.49870
Expected LPN Staffing Hours per Resident per Day
0.64754
Expected RN Staffing Hours per Resident per Day
1.08646
Expected Total Nurse Staffing Hours per Resident per Day
4.23270
Adjusted CNA Staffing Hours per Resident per Day
1.66533
Adjusted LPN Staffing Hours per Resident per Day
1.39883
Adjusted RN Staffing Hours per Resident per Day
0.25833
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01202
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
2015-03-04
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
16
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2014-01-30
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
59.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
2275
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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