Golden Livingcenter-colonial Mnr - Glendale Nursing Home

General Information

UPDATE
Federal Provider Number
525309
Provider Name
GOLDEN LIVINGCENTER-COLONIAL MNR
Provider Address
1616 W BENDER RD
GLENDALE, WI 53209
Provider Phone Number
(414) 228-8700
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
141
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC GLENDALE LLC
Date First Approved to Provide Medicare and Medicaid services
1981-11-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.56559
Reported LPN Staffing Hours per Resident per Day
1.05591
Reported RN Staffing Hours per Resident per Day
0.47419
Reported Licensed Staffing Hours per Resident per Day
1.53011
Reported Total Nurse Staffing Hours per Resident per Day
4.09569
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06129
Expected CNA Staffing Hours per Resident per Day
2.47951
Expected LPN Staffing Hours per Resident per Day
0.68718
Expected RN Staffing Hours per Resident per Day
1.02277
Expected Total Nurse Staffing Hours per Resident per Day
4.18947
Adjusted CNA Staffing Hours per Resident per Day
2.53888
Adjusted LPN Staffing Hours per Resident per Day
1.27536
Adjusted RN Staffing Hours per Resident per Day
0.34643
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94067
Cycle 1 Total Number of Health Deficiencies
30
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
152
Cycle 1 Standard Survey Health Date
2014-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
152
Cycle 2 Total Number of Health Deficiencies
32
Cycle 2 Number of Standard Health Deficiencies
30
Cycle 2 Number of Complaint Health Deficiencies
17
Cycle 2 Health Deficiency Score
712
Cycle 2 Standard Health Survey Date
2013-03-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
712
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
199
Cycle 3 Standard Health Survey Date
2012-01-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
199
Total Weighted Health Survey Score
346.50000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
22
Number of Fines
3
Total Amount of Fines in Dollars
237430
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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