Golden Livingcenter - Hillcrest Of Wayzata - Wayzata Nursing Home
General Information
UPDATEFederal Provider Number
245084
Provider Name
GOLDEN LIVINGCENTER - HILLCREST OF WAYZATA
Provider Address
15409 WAYZATA BOULEVARD
WAYZATA, MN 55391
WAYZATA, MN 55391
Provider Phone Number
(952) 473-5466
Provider SSA County
260
Provider County Name
Hennepin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
50
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
GGNSC WAYZATA LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-16
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
3
QM Rating Footnote
Staffing Rating
5
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
2.97500
Reported LPN Staffing Hours per Resident per Day
1.48600
Reported RN Staffing Hours per Resident per Day
1.54500
Reported Licensed Staffing Hours per Resident per Day
3.03100
Reported Total Nurse Staffing Hours per Resident per Day
6.00600
Reported Physical Therapist Staffing Hours per Resident Per Day
0.32100
Expected CNA Staffing Hours per Resident per Day
2.52226
Expected LPN Staffing Hours per Resident per Day
0.67629
Expected RN Staffing Hours per Resident per Day
1.25284
Expected Total Nurse Staffing Hours per Resident per Day
4.45139
Adjusted CNA Staffing Hours per Resident per Day
2.89414
Adjusted LPN Staffing Hours per Resident per Day
1.82375
Adjusted RN Staffing Hours per Resident per Day
0.92145
Adjusted Total Nurse Staffing Hours per Resident per Day
5.43866
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-07
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
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
2013-09-13
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
12.66700
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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