Golden Livingcenter - Henning - Henning Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
245540
Provider Name
GOLDEN LIVINGCENTER - HENNING
Provider Address
907 MARSHALL AVENUE, PO BOX 57
HENNING, MN 56551
HENNING, MN 56551
Provider Phone Number
(218) 583-2965
Provider SSA County
550
Provider County Name
Otter Tail
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
27
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC HENNINGS LLC
Date First Approved to Provide Medicare and Medicaid services
1990-04-01
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
4
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
2.12037
Reported LPN Staffing Hours per Resident per Day
0.55000
Reported RN Staffing Hours per Resident per Day
1.07222
Reported Licensed Staffing Hours per Resident per Day
1.62222
Reported Total Nurse Staffing Hours per Resident per Day
3.74259
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05741
Expected CNA Staffing Hours per Resident per Day
2.37995
Expected LPN Staffing Hours per Resident per Day
0.55383
Expected RN Staffing Hours per Resident per Day
0.87132
Expected Total Nurse Staffing Hours per Resident per Day
3.80510
Adjusted CNA Staffing Hours per Resident per Day
2.18608
Adjusted LPN Staffing Hours per Resident per Day
0.82426
Adjusted RN Staffing Hours per Resident per Day
0.91949
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96468
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-04-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2014-06-20
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
19.33300
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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