Golden Living Center-indianapolis - Indianapolis Nursing Home

General Information

UPDATE
Federal Provider Number
155138
Provider Name
GOLDEN LIVING CENTER-INDIANAPOLIS
Provider Address
2860 CHURCHMAN AVE
INDIANAPOLIS, IN 46203
Provider Phone Number
(317) 787-3451
Provider SSA County
480
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
115
Number of Residents in Certified Beds
86
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
1972-10-27
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.71337
Reported LPN Staffing Hours per Resident per Day
0.57907
Reported RN Staffing Hours per Resident per Day
0.80988
Reported Licensed Staffing Hours per Resident per Day
1.38895
Reported Total Nurse Staffing Hours per Resident per Day
3.10232
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08488
Expected CNA Staffing Hours per Resident per Day
2.53309
Expected LPN Staffing Hours per Resident per Day
0.74169
Expected RN Staffing Hours per Resident per Day
1.31536
Expected Total Nurse Staffing Hours per Resident per Day
4.59014
Adjusted CNA Staffing Hours per Resident per Day
1.65967
Adjusted LPN Staffing Hours per Resident per Day
0.64802
Adjusted RN Staffing Hours per Resident per Day
0.46006
Adjusted Total Nurse Staffing Hours per Resident per Day
2.72435
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-12-01
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
10
Cycle 3 Total Health Score
30
Total Weighted Health Survey Score
31.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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