Golden Living Center-gloucester - Gloucester Nursing Home
General Information
UPDATEFederal Provider Number
225464
Provider Name
GOLDEN LIVING CENTER-GLOUCESTER
Provider Address
272 WASHINGTON STREET
GLOUCESTER, MA 1930
GLOUCESTER, MA 1930
Provider Phone Number
(978) 281-0333
Provider SSA County
40
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC GLOUCESTER LLC
Date First Approved to Provide Medicare and Medicaid services
1990-07-01
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
3
QM Rating Footnote
Staffing Rating
2
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
1.73352
Reported LPN Staffing Hours per Resident per Day
0.74261
Reported RN Staffing Hours per Resident per Day
0.69773
Reported Licensed Staffing Hours per Resident per Day
1.44034
Reported Total Nurse Staffing Hours per Resident per Day
3.17386
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05341
Expected CNA Staffing Hours per Resident per Day
2.52806
Expected LPN Staffing Hours per Resident per Day
0.67846
Expected RN Staffing Hours per Resident per Day
1.02387
Expected Total Nurse Staffing Hours per Resident per Day
4.23039
Adjusted CNA Staffing Hours per Resident per Day
1.68253
Adjusted LPN Staffing Hours per Resident per Day
0.90848
Adjusted RN Staffing Hours per Resident per Day
0.50919
Adjusted Total Nurse Staffing Hours per Resident per Day
3.02419
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-03-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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