Golden Livingcenter - Bloomington - Bloomington Nursing Home
General Information
UPDATEFederal Provider Number
245324
Provider Name
GOLDEN LIVINGCENTER - BLOOMINGTON
Provider Address
9200 NICOLLET AVENUE SOUTH
BLOOMINGTON, MN 55420
BLOOMINGTON, MN 55420
Provider Phone Number
9528818676
Provider SSA County
260
Provider County Name
Hennepin
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC MINNEAPOLIS BLOOMINGTON LLC
Date First Approved to Provide Medicare and Medicaid services
1986-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.90391
Reported LPN Staffing Hours per Resident per Day
0.63750
Reported RN Staffing Hours per Resident per Day
1.16641
Reported Licensed Staffing Hours per Resident per Day
1.80391
Reported Total Nurse Staffing Hours per Resident per Day
3.70782
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07344
Expected CNA Staffing Hours per Resident per Day
2.47627
Expected LPN Staffing Hours per Resident per Day
0.65900
Expected RN Staffing Hours per Resident per Day
1.17951
Expected Total Nurse Staffing Hours per Resident per Day
4.31478
Adjusted CNA Staffing Hours per Resident per Day
1.88656
Adjusted LPN Staffing Hours per Resident per Day
0.80292
Adjusted RN Staffing Hours per Resident per Day
0.73890
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46387
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-17
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
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
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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