Golden Livingcenter-continental Manor Of Randolph - Randolph Nursing Home
General Information
UPDATEFederal Provider Number
525355
Provider Name
GOLDEN LIVINGCENTER-CONTINENTAL MANOR OF RANDOLPH
Provider Address
502 S HIGH ST
RANDOLPH, WI 53956
RANDOLPH, WI 53956
Provider Phone Number
(920) 326-3171
Provider SSA County
130
Provider County Name
Dodge
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMERCIAL MANAGEMENT, INC.
Date First Approved to Provide Medicare and Medicaid services
1984-04-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.19683
Reported LPN Staffing Hours per Resident per Day
0.51270
Reported RN Staffing Hours per Resident per Day
0.96032
Reported Licensed Staffing Hours per Resident per Day
1.47302
Reported Total Nurse Staffing Hours per Resident per Day
3.66985
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08016
Expected CNA Staffing Hours per Resident per Day
2.51190
Expected LPN Staffing Hours per Resident per Day
0.61754
Expected RN Staffing Hours per Resident per Day
0.97485
Expected Total Nurse Staffing Hours per Resident per Day
4.10429
Adjusted CNA Staffing Hours per Resident per Day
2.14593
Adjusted LPN Staffing Hours per Resident per Day
0.68910
Adjusted RN Staffing Hours per Resident per Day
0.73606
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60423
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2012-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-09-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
10.00000
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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