Golden Livingcenter - Grand Island Lakeview - Grand Island Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
285106
Provider Name
GOLDEN LIVINGCENTER - GRAND ISLAND LAKEVIEW
Provider Address
1405 WEST HWY 34
GRAND ISLAND, NE 68801
GRAND ISLAND, NE 68801
Provider Phone Number
(308) 382-6397
Provider SSA County
390
Provider County Name
Hall
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC GRAND ISLAND LAKEVIEW LLC
Date First Approved to Provide Medicare and Medicaid services
1991-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.97687
Reported LPN Staffing Hours per Resident per Day
0.75373
Reported RN Staffing Hours per Resident per Day
0.53358
Reported Licensed Staffing Hours per Resident per Day
1.28731
Reported Total Nurse Staffing Hours per Resident per Day
3.26418
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03209
Expected CNA Staffing Hours per Resident per Day
2.31379
Expected LPN Staffing Hours per Resident per Day
0.65138
Expected RN Staffing Hours per Resident per Day
1.03983
Expected Total Nurse Staffing Hours per Resident per Day
4.00501
Adjusted CNA Staffing Hours per Resident per Day
2.09640
Adjusted LPN Staffing Hours per Resident per Day
0.96041
Adjusted RN Staffing Hours per Resident per Day
0.38342
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28528
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2013-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
8
Cycle 2 Standard Health Survey Date
2012-07-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
32
Cycle 3 Standard Health Survey Date
2011-07-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
3
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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