Golden Living Center-merrillville - Merrillville Nursing Home
General Information
UPDATEFederal Provider Number
155362
Provider Name
GOLDEN LIVING CENTER-MERRILLVILLE
Provider Address
8800 VIRGINIA PL
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
Provider Phone Number
(219) 736-1310
Provider SSA County
440
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
164
Number of Residents in Certified Beds
128
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
1990-07-06
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
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.86992
Reported LPN Staffing Hours per Resident per Day
1.52891
Reported RN Staffing Hours per Resident per Day
0.26797
Reported Licensed Staffing Hours per Resident per Day
1.79688
Reported Total Nurse Staffing Hours per Resident per Day
3.66680
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16289
Expected CNA Staffing Hours per Resident per Day
2.38429
Expected LPN Staffing Hours per Resident per Day
0.68137
Expected RN Staffing Hours per Resident per Day
1.09917
Expected Total Nurse Staffing Hours per Resident per Day
4.16483
Adjusted CNA Staffing Hours per Resident per Day
1.92436
Adjusted LPN Staffing Hours per Resident per Day
1.86243
Adjusted RN Staffing Hours per Resident per Day
0.18216
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54889
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-10-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
27
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
107.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
47
Number of Fines
1
Total Amount of Fines in Dollars
7930
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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