Golden Livingcenter-jefferson City - Jefferson City Nursing Home
General Information
UPDATEFederal Provider Number
265482
Provider Name
GOLDEN LIVINGCENTER-JEFFERSON CITY
Provider Address
3038 WEST TRUMAN BLVD
JEFFERSON CITY, MO 65109
JEFFERSON CITY, MO 65109
Provider Phone Number
(573) 893-3404
Provider SSA County
250
Provider County Name
Cole
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
87
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC JEFFERSON CITY LLC
Date First Approved to Provide Medicare and Medicaid services
1992-03-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
2.30921
Reported LPN Staffing Hours per Resident per Day
0.54934
Reported RN Staffing Hours per Resident per Day
0.77632
Reported Licensed Staffing Hours per Resident per Day
1.32566
Reported Total Nurse Staffing Hours per Resident per Day
3.63487
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06382
Expected CNA Staffing Hours per Resident per Day
2.48336
Expected LPN Staffing Hours per Resident per Day
0.54985
Expected RN Staffing Hours per Resident per Day
0.75177
Expected Total Nurse Staffing Hours per Resident per Day
3.78498
Adjusted CNA Staffing Hours per Resident per Day
2.28163
Adjusted LPN Staffing Hours per Resident per Day
0.82923
Adjusted RN Staffing Hours per Resident per Day
0.77160
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87104
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-10-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
1
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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