Golden Livingcenter-kirtland - Kirtland Nursing Home
General Information
UPDATEFederal Provider Number
365290
Provider Name
GOLDEN LIVINGCENTER-KIRTLAND
Provider Address
9685 CHILLICOTHE RD
KIRTLAND, OH 44094
KIRTLAND, OH 44094
Provider Phone Number
(440) 256-8100
Provider SSA County
440
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
157
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC KIRTLAND LLC
Date First Approved to Provide Medicare and Medicaid services
1973-06-04
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
1.78057
Reported LPN Staffing Hours per Resident per Day
0.88790
Reported RN Staffing Hours per Resident per Day
0.73280
Reported Licensed Staffing Hours per Resident per Day
1.62070
Reported Total Nurse Staffing Hours per Resident per Day
3.40127
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03280
Expected CNA Staffing Hours per Resident per Day
2.45217
Expected LPN Staffing Hours per Resident per Day
0.67875
Expected RN Staffing Hours per Resident per Day
1.12549
Expected Total Nurse Staffing Hours per Resident per Day
4.25641
Adjusted CNA Staffing Hours per Resident per Day
1.78168
Adjusted LPN Staffing Hours per Resident per Day
1.08575
Adjusted RN Staffing Hours per Resident per Day
0.48650
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22107
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-05-21
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
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-02-21
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-11-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
2275
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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