Golden Living Center-elkhart - Elkhart Nursing Home
General Information
UPDATEFederal Provider Number
155685
Provider Name
GOLDEN LIVING CENTER-ELKHART
Provider Address
1001 W HIVELY AVE
ELKHART, IN 46517
ELKHART, IN 46517
Provider Phone Number
(574) 294-7641
Provider SSA County
190
Provider County Name
Elkhart
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
175
Number of Residents in Certified Beds
149
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
2001-01-18
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.87349
Reported LPN Staffing Hours per Resident per Day
0.85168
Reported RN Staffing Hours per Resident per Day
0.52919
Reported Licensed Staffing Hours per Resident per Day
1.38087
Reported Total Nurse Staffing Hours per Resident per Day
3.25436
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03154
Expected CNA Staffing Hours per Resident per Day
2.31739
Expected LPN Staffing Hours per Resident per Day
0.60278
Expected RN Staffing Hours per Resident per Day
0.96041
Expected Total Nurse Staffing Hours per Resident per Day
3.88058
Adjusted CNA Staffing Hours per Resident per Day
1.98369
Adjusted LPN Staffing Hours per Resident per Day
1.17272
Adjusted RN Staffing Hours per Resident per Day
0.41171
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38042
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-11-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
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
2012-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
12
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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