Golden Livingcenter - Charlotte - Charlotte Nursing Home
General Information
UPDATEFederal Provider Number
345201
Provider Name
GOLDEN LIVINGCENTER - CHARLOTTE
Provider Address
2616 EAST 5TH STREET
CHARLOTTE, NC 28204
CHARLOTTE, NC 28204
Provider Phone Number
(704) 333-5165
Provider SSA County
590
Provider County Name
Mecklenburg
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC CHARLOTTE AMERICAN LLC
Date First Approved to Provide Medicare and Medicaid services
1980-12-22
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
1.95426
Reported LPN Staffing Hours per Resident per Day
1.00479
Reported RN Staffing Hours per Resident per Day
0.62500
Reported Licensed Staffing Hours per Resident per Day
1.62979
Reported Total Nurse Staffing Hours per Resident per Day
3.58405
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.39201
Expected LPN Staffing Hours per Resident per Day
0.61608
Expected RN Staffing Hours per Resident per Day
1.04412
Expected Total Nurse Staffing Hours per Resident per Day
4.05221
Adjusted CNA Staffing Hours per Resident per Day
2.00466
Adjusted LPN Staffing Hours per Resident per Day
1.35368
Adjusted RN Staffing Hours per Resident per Day
0.44727
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56520
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-23
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
14
Cycle 1 Total Health Score
42
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
33.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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