Golden Livingcenter-independence - Independence Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
265456
Provider Name
GOLDEN LIVINGCENTER-INDEPENDENCE
Provider Address
17451 EAST MEDICAL CENTER PARKWAY
INDEPENDENCE, MO 64057
INDEPENDENCE, MO 64057
Provider Phone Number
(816) 373-7795
Provider SSA County
470
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC INDEPENDENCE II LLC
Date First Approved to Provide Medicare and Medicaid services
1991-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.37013
Reported LPN Staffing Hours per Resident per Day
0.84481
Reported RN Staffing Hours per Resident per Day
0.59935
Reported Licensed Staffing Hours per Resident per Day
1.44416
Reported Total Nurse Staffing Hours per Resident per Day
3.81429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04286
Expected CNA Staffing Hours per Resident per Day
2.16309
Expected LPN Staffing Hours per Resident per Day
0.58538
Expected RN Staffing Hours per Resident per Day
0.90336
Expected Total Nurse Staffing Hours per Resident per Day
3.65183
Adjusted CNA Staffing Hours per Resident per Day
2.68856
Adjusted LPN Staffing Hours per Resident per Day
1.19784
Adjusted RN Staffing Hours per Resident per Day
0.49574
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21023
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-03-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
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
76
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-10-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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