Golden Livingcenter-bayside Of Poquoson - Poquoson Nursing Home
General Information
UPDATEFederal Provider Number
495264
Provider Name
GOLDEN LIVINGCENTER-BAYSIDE OF POQUOSON
Provider Address
1 VANTAGE DRIVE
POQUOSON, VA 23662
POQUOSON, VA 23662
Provider Phone Number
(757) 868-9960
Provider SSA County
712
Provider County Name
Poquoson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC POQUOSON LLC
Date First Approved to Provide Medicare and Medicaid services
1992-06-01
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
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
1.35577
Reported LPN Staffing Hours per Resident per Day
0.43269
Reported RN Staffing Hours per Resident per Day
0.57885
Reported Licensed Staffing Hours per Resident per Day
1.01154
Reported Total Nurse Staffing Hours per Resident per Day
2.36731
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04135
Expected CNA Staffing Hours per Resident per Day
2.38303
Expected LPN Staffing Hours per Resident per Day
0.59003
Expected RN Staffing Hours per Resident per Day
0.90921
Expected Total Nurse Staffing Hours per Resident per Day
3.88227
Adjusted CNA Staffing Hours per Resident per Day
1.39598
Adjusted LPN Staffing Hours per Resident per Day
0.60867
Adjusted RN Staffing Hours per Resident per Day
0.47571
Adjusted Total Nurse Staffing Hours per Resident per Day
2.45794
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-02-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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