Golden Living Center-petersburg - Petersburg Nursing Home
General Information
UPDATEFederal Provider Number
155375
Provider Name
GOLDEN LIVING CENTER-PETERSBURG
Provider Address
309 W PIKE AVE
PETERSBURG, IN 47567
PETERSBURG, IN 47567
Provider Phone Number
(812) 354-8833
Provider SSA County
620
Provider County Name
Pike
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEVERLY HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1991-04-16
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.33036
Reported LPN Staffing Hours per Resident per Day
1.09196
Reported RN Staffing Hours per Resident per Day
0.67768
Reported Licensed Staffing Hours per Resident per Day
1.76964
Reported Total Nurse Staffing Hours per Resident per Day
3.10000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09554
Expected CNA Staffing Hours per Resident per Day
2.23760
Expected LPN Staffing Hours per Resident per Day
0.61891
Expected RN Staffing Hours per Resident per Day
1.02843
Expected Total Nurse Staffing Hours per Resident per Day
3.88494
Adjusted CNA Staffing Hours per Resident per Day
1.45884
Adjusted LPN Staffing Hours per Resident per Day
1.46440
Adjusted RN Staffing Hours per Resident per Day
0.49236
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21647
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
2014-07-14
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-06-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-03-07
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
0
Number of Substantiated Complaints
1
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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Nursiong Homes Nearby
Amber Manor Care Center
801 E Illinois St |
PETERSBURG IN 47567 | 1.1 miles away