Golden Livingcenter-kinzua - Warren Nursing Home
General Information
UPDATEFederal Provider Number
395363
Provider Name
GOLDEN LIVINGCENTER-KINZUA
Provider Address
205 WATER STREET
WARREN, PA 16365
WARREN, PA 16365
Provider Phone Number
(814) 726-0820
Provider SSA County
740
Provider County Name
Warren
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC WARREN KINZUA VALLEY LP
Date First Approved to Provide Medicare and Medicaid services
1977-04-30
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.81150
Reported LPN Staffing Hours per Resident per Day
0.85300
Reported RN Staffing Hours per Resident per Day
0.49250
Reported Licensed Staffing Hours per Resident per Day
1.34550
Reported Total Nurse Staffing Hours per Resident per Day
3.15700
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07800
Expected CNA Staffing Hours per Resident per Day
2.53199
Expected LPN Staffing Hours per Resident per Day
0.63854
Expected RN Staffing Hours per Resident per Day
1.06688
Expected Total Nurse Staffing Hours per Resident per Day
4.23741
Adjusted CNA Staffing Hours per Resident per Day
1.75549
Adjusted LPN Staffing Hours per Resident per Day
1.10877
Adjusted RN Staffing Hours per Resident per Day
0.34493
Adjusted Total Nurse Staffing Hours per Resident per Day
3.00315
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-10-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.66700
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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