Golden Livingcenter -charlottesville - Charlottesville Nursing Home
General Information
UPDATEFederal Provider Number
495153
Provider Name
GOLDEN LIVINGCENTER -CHARLOTTESVILLE
Provider Address
1242 CEDARS CT
CHARLOTTESVILLE, VA 22903
CHARLOTTESVILLE, VA 22903
Provider Phone Number
(434) 296-5611
Provider SSA County
191
Provider County Name
Charlottesville City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
143
Number of Residents in Certified Beds
126
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEVERLY ENTERPRISES - VIRGINIA, INC
Date First Approved to Provide Medicare and Medicaid services
1985-02-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08254
Reported LPN Staffing Hours per Resident per Day
0.87619
Reported RN Staffing Hours per Resident per Day
0.50476
Reported Licensed Staffing Hours per Resident per Day
1.38095
Reported Total Nurse Staffing Hours per Resident per Day
3.46349
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08333
Expected CNA Staffing Hours per Resident per Day
2.50734
Expected LPN Staffing Hours per Resident per Day
0.66286
Expected RN Staffing Hours per Resident per Day
1.06920
Expected Total Nurse Staffing Hours per Resident per Day
4.23940
Adjusted CNA Staffing Hours per Resident per Day
2.03799
Adjusted LPN Staffing Hours per Resident per Day
1.09711
Adjusted RN Staffing Hours per Resident per Day
0.35275
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29315
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
14
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
46
Cycle 2 Total Health Score
138
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
119.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
17
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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