Golden Livingcenter - Ipswich - Ipswich Nursing Home

General Information

UPDATE
Federal Provider Number
435055
Provider Name
GOLDEN LIVINGCENTER - IPSWICH
Provider Address
617 BLOEMENDAAL DRIVE POST OFFICE BOX 728
IPSWICH, SD 57451
Provider Phone Number
6054266622
Provider SSA County
220
Provider County Name
Edmunds
Ownership Type
For profit - Corporation
Number of Certified Beds
47
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC IPSWICH LLC
Date First Approved to Provide Medicare and Medicaid services
1991-09-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.65326
Reported LPN Staffing Hours per Resident per Day
0.40000
Reported RN Staffing Hours per Resident per Day
0.60652
Reported Licensed Staffing Hours per Resident per Day
1.00652
Reported Total Nurse Staffing Hours per Resident per Day
2.65978
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04022
Expected CNA Staffing Hours per Resident per Day
2.17525
Expected LPN Staffing Hours per Resident per Day
0.62309
Expected RN Staffing Hours per Resident per Day
0.93007
Expected Total Nurse Staffing Hours per Resident per Day
3.72841
Adjusted CNA Staffing Hours per Resident per Day
1.86489
Adjusted LPN Staffing Hours per Resident per Day
0.53283
Adjusted RN Staffing Hours per Resident per Day
0.48727
Adjusted Total Nurse Staffing Hours per Resident per Day
2.87557
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-04-24
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
12
Cycle 3 Standard Health Survey Date
2012-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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