Golden Livingcenter-new Haven - Odessa Nursing Home
General Information
UPDATEFederal Provider Number
265501
Provider Name
GOLDEN LIVINGCENTER-NEW HAVEN
Provider Address
609 GOLF STREET
ODESSA, MO 64076
ODESSA, MO 64076
Provider Phone Number
(816) 230-7530
Provider SSA County
530
Provider County Name
Lafayette
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC ODESSA LLC
Date First Approved to Provide Medicare and Medicaid services
1992-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
3
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
1.74545
Reported LPN Staffing Hours per Resident per Day
0.76545
Reported RN Staffing Hours per Resident per Day
0.54636
Reported Licensed Staffing Hours per Resident per Day
1.31182
Reported Total Nurse Staffing Hours per Resident per Day
3.05726
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08273
Expected CNA Staffing Hours per Resident per Day
2.44395
Expected LPN Staffing Hours per Resident per Day
0.56424
Expected RN Staffing Hours per Resident per Day
0.86301
Expected Total Nurse Staffing Hours per Resident per Day
3.87120
Adjusted CNA Staffing Hours per Resident per Day
1.75241
Adjusted LPN Staffing Hours per Resident per Day
1.12599
Adjusted RN Staffing Hours per Resident per Day
0.47304
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18339
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-05-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
115
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
115
Total Weighted Health Survey Score
53.16700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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