Golden Livingcenter-fowler - Fowler Nursing Home
General Information
UPDATEFederal Provider Number
55454
Provider Name
GOLDEN LIVINGCENTER-FOWLER
Provider Address
1306 EAST SUMNER AVENUE
FOWLER, CA 93625
FOWLER, CA 93625
Provider Phone Number
5598342542
Provider SSA County
90
Provider County Name
Fresno
Ownership Type
For profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
48
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
1973-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.37813
Reported LPN Staffing Hours per Resident per Day
0.36146
Reported RN Staffing Hours per Resident per Day
0.99688
Reported Licensed Staffing Hours per Resident per Day
1.35833
Reported Total Nurse Staffing Hours per Resident per Day
3.73647
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11875
Expected CNA Staffing Hours per Resident per Day
2.50741
Expected LPN Staffing Hours per Resident per Day
0.61764
Expected RN Staffing Hours per Resident per Day
1.07013
Expected Total Nurse Staffing Hours per Resident per Day
4.19518
Adjusted CNA Staffing Hours per Resident per Day
2.32719
Adjusted LPN Staffing Hours per Resident per Day
0.48574
Adjusted RN Staffing Hours per Resident per Day
0.69606
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59015
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
0
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-01-23
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
108
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
3250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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