Golden Living Center-woodbridge - Evansville Nursing Home
General Information
UPDATEFederal Provider Number
155390
Provider Name
GOLDEN LIVING CENTER-WOODBRIDGE
Provider Address
816 N FIRST AVE
EVANSVILLE, IN 47710
EVANSVILLE, IN 47710
Provider Phone Number
(812) 426-2841
Provider SSA County
810
Provider County Name
Vanderburgh
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
67
Number of Residents in Certified Beds
59
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
1991-10-01
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
2
QM Rating Footnote
Staffing Rating
3
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
1.71186
Reported LPN Staffing Hours per Resident per Day
0.86102
Reported RN Staffing Hours per Resident per Day
0.65339
Reported Licensed Staffing Hours per Resident per Day
1.51441
Reported Total Nurse Staffing Hours per Resident per Day
3.22627
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09576
Expected CNA Staffing Hours per Resident per Day
2.29890
Expected LPN Staffing Hours per Resident per Day
0.64118
Expected RN Staffing Hours per Resident per Day
0.99970
Expected Total Nurse Staffing Hours per Resident per Day
3.93978
Adjusted CNA Staffing Hours per Resident per Day
1.82713
Adjusted LPN Staffing Hours per Resident per Day
1.11458
Adjusted RN Staffing Hours per Resident per Day
0.48836
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30089
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-04-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-01-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2011-11-22
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
30
Cycle 3 Total Health Score
90
Total Weighted Health Survey Score
64.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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