Golden Living Center-valparaiso - Valparaiso Nursing Home
General Information
UPDATEFederal Provider Number
155137
Provider Name
GOLDEN LIVING CENTER-VALPARAISO
Provider Address
251 STURDY RD
VALPARAISO, IN 46383
VALPARAISO, IN 46383
Provider Phone Number
(219) 462-6158
Provider SSA County
630
Provider County Name
Porter
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1972-10-03
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
3
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
1.42297
Reported LPN Staffing Hours per Resident per Day
0.96284
Reported RN Staffing Hours per Resident per Day
0.40270
Reported Licensed Staffing Hours per Resident per Day
1.36554
Reported Total Nurse Staffing Hours per Resident per Day
2.78851
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16149
Expected CNA Staffing Hours per Resident per Day
2.49080
Expected LPN Staffing Hours per Resident per Day
0.61974
Expected RN Staffing Hours per Resident per Day
1.11504
Expected Total Nurse Staffing Hours per Resident per Day
4.22558
Adjusted CNA Staffing Hours per Resident per Day
1.40178
Adjusted LPN Staffing Hours per Resident per Day
1.28950
Adjusted RN Staffing Hours per Resident per Day
0.26985
Adjusted Total Nurse Staffing Hours per Resident per Day
2.66004
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2015-01-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-12-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
79.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
32
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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