Golden Livingcenter - Greeley - Stillwater Nursing Home
General Information
UPDATEFederal Provider Number
245342
Provider Name
GOLDEN LIVINGCENTER - GREELEY
Provider Address
313 SOUTH GREELEY STREET
STILLWATER, MN 55082
STILLWATER, MN 55082
Provider Phone Number
(651) 439-5775
Provider SSA County
810
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC STILLWATER GREELEY LLC
Date First Approved to Provide Medicare and Medicaid services
1986-08-01
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
1.84030
Reported LPN Staffing Hours per Resident per Day
0.53881
Reported RN Staffing Hours per Resident per Day
1.00373
Reported Licensed Staffing Hours per Resident per Day
1.54254
Reported Total Nurse Staffing Hours per Resident per Day
3.38284
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11642
Expected CNA Staffing Hours per Resident per Day
2.52235
Expected LPN Staffing Hours per Resident per Day
0.63827
Expected RN Staffing Hours per Resident per Day
1.07557
Expected Total Nurse Staffing Hours per Resident per Day
4.23619
Adjusted CNA Staffing Hours per Resident per Day
1.79021
Adjusted LPN Staffing Hours per Resident per Day
0.70066
Adjusted RN Staffing Hours per Resident per Day
0.69730
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21891
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
24
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
4
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
16.66700
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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