Golden Livingcenter - Clovis - Clovis Nursing Home

General Information

UPDATE
Federal Provider Number
56338
Provider Name
GOLDEN LIVINGCENTER - CLOVIS
Provider Address
111 BARSTOW AVE.
CLOVIS, CA 93612
Provider Phone Number
5592992591
Provider SSA County
90
Provider County Name
Fresno
Ownership Type
For profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEVERLY HEALTHCARE - CALIFORNIA INC
Date First Approved to Provide Medicare and Medicaid services
1972-06-26
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.53704
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.97407
Reported Licensed Staffing Hours per Resident per Day
0.97407
Reported Total Nurse Staffing Hours per Resident per Day
3.51111
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20926
Expected CNA Staffing Hours per Resident per Day
2.56423
Expected LPN Staffing Hours per Resident per Day
0.66665
Expected RN Staffing Hours per Resident per Day
1.11525
Expected Total Nurse Staffing Hours per Resident per Day
4.34614
Adjusted CNA Staffing Hours per Resident per Day
2.42768
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.65261
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25644
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-05-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-05
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
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
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
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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