Golden Living Center- Brookview - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155076
Provider Name
GOLDEN LIVING CENTER- BROOKVIEW
Provider Address
7145 E 21ST ST
INDIANAPOLIS, IN 46219
INDIANAPOLIS, IN 46219
Provider Phone Number
3173560977
Provider SSA County
480
Provider County Name
Marion
Ownership Type
Government - County
Number of Certified Beds
136
Number of Residents in Certified Beds
118
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
1968-10-25
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
1
Health Inspection Rating Footnote
QM Rating
4
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
1.76525
Reported LPN Staffing Hours per Resident per Day
0.82034
Reported RN Staffing Hours per Resident per Day
0.81695
Reported Licensed Staffing Hours per Resident per Day
1.63729
Reported Total Nurse Staffing Hours per Resident per Day
3.40254
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09788
Expected CNA Staffing Hours per Resident per Day
2.53109
Expected LPN Staffing Hours per Resident per Day
0.67990
Expected RN Staffing Hours per Resident per Day
1.03376
Expected Total Nurse Staffing Hours per Resident per Day
4.24474
Adjusted CNA Staffing Hours per Resident per Day
1.71128
Adjusted LPN Staffing Hours per Resident per Day
1.00145
Adjusted RN Staffing Hours per Resident per Day
0.59049
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23113
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
68.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
9
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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