Golden Living Center-fountainview Terrace - La Porte Nursing Home

General Information

UPDATE
Federal Provider Number
155136
Provider Name
GOLDEN LIVING CENTER-FOUNTAINVIEW TERRACE
Provider Address
1900 ANDREW AVE
LA PORTE, IN 46350
Provider Phone Number
2193627014
Provider SSA County
450
Provider County Name
La Porte
Ownership Type
Government - County
Number of Certified Beds
176
Number of Residents in Certified Beds
135
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
1972-10-04
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
1.51185
Reported LPN Staffing Hours per Resident per Day
0.71667
Reported RN Staffing Hours per Resident per Day
0.80370
Reported Licensed Staffing Hours per Resident per Day
1.52037
Reported Total Nurse Staffing Hours per Resident per Day
3.03222
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07667
Expected CNA Staffing Hours per Resident per Day
2.39536
Expected LPN Staffing Hours per Resident per Day
0.63295
Expected RN Staffing Hours per Resident per Day
1.12285
Expected Total Nurse Staffing Hours per Resident per Day
4.15116
Adjusted CNA Staffing Hours per Resident per Day
1.54867
Adjusted LPN Staffing Hours per Resident per Day
0.93979
Adjusted RN Staffing Hours per Resident per Day
0.53482
Adjusted Total Nurse Staffing Hours per Resident per Day
2.94438
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-06-02
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
14
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-04-18
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
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-01-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
2
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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