Golden Livingcenter-florence - Florence Nursing Home
General Information
UPDATEFederal Provider Number
525358
Provider Name
GOLDEN LIVINGCENTER-FLORENCE
Provider Address
5778 CHAPIN ST
FLORENCE, WI 54121
FLORENCE, WI 54121
Provider Phone Number
7155284833
Provider SSA County
180
Provider County Name
Florence
Ownership Type
For profit - Corporation
Number of Certified Beds
73
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEVERLY ENTERPRISES - WISCONSIN 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
4
Health Inspection Rating Footnote
QM Rating
5
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
2.15096
Reported LPN Staffing Hours per Resident per Day
0.22212
Reported RN Staffing Hours per Resident per Day
0.84808
Reported Licensed Staffing Hours per Resident per Day
1.07019
Reported Total Nurse Staffing Hours per Resident per Day
3.22116
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01250
Expected CNA Staffing Hours per Resident per Day
2.46236
Expected LPN Staffing Hours per Resident per Day
0.65689
Expected RN Staffing Hours per Resident per Day
1.09459
Expected Total Nurse Staffing Hours per Resident per Day
4.21383
Adjusted CNA Staffing Hours per Resident per Day
2.14340
Adjusted LPN Staffing Hours per Resident per Day
0.28066
Adjusted RN Staffing Hours per Resident per Day
0.57893
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08132
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-04-15
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
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-05-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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