Golden Livingcenter - Lake Ridge - Roseville Nursing Home

General Information

UPDATE
Federal Provider Number
245105
Provider Name
GOLDEN LIVINGCENTER - LAKE RIDGE
Provider Address
2727 NORTH VICTORIA
ROSEVILLE, MN 55113
Provider Phone Number
6514835431
Provider SSA County
610
Provider County Name
Ramsey
Ownership Type
For profit - Corporation
Number of Certified Beds
175
Number of Residents in Certified Beds
151
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC ST. PAUL LAKE RIDGE LLC
Date First Approved to Provide Medicare and Medicaid services
1969-08-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
2.30695
Reported LPN Staffing Hours per Resident per Day
0.70695
Reported RN Staffing Hours per Resident per Day
1.38013
Reported Licensed Staffing Hours per Resident per Day
2.08709
Reported Total Nurse Staffing Hours per Resident per Day
4.39403
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10265
Expected CNA Staffing Hours per Resident per Day
2.39970
Expected LPN Staffing Hours per Resident per Day
0.58579
Expected RN Staffing Hours per Resident per Day
0.97856
Expected Total Nurse Staffing Hours per Resident per Day
3.96404
Adjusted CNA Staffing Hours per Resident per Day
2.35886
Adjusted LPN Staffing Hours per Resident per Day
1.00167
Adjusted RN Staffing Hours per Resident per Day
1.05383
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46814
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
4
Cycle 2 Standard Health Survey Date
2013-12-19
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
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
2
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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