Golden Livingcenter - Olivia - Olivia Nursing Home

General Information

UPDATE
Federal Provider Number
245290
Provider Name
GOLDEN LIVINGCENTER - OLIVIA
Provider Address
1003 WEST MAPLE
OLIVIA, MN 56277
Provider Phone Number
3205231652
Provider SSA County
640
Provider County Name
Renville
Ownership Type
For profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC OLIVIA LLC
Date First Approved to Provide Medicare and Medicaid services
1985-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.01100
Reported LPN Staffing Hours per Resident per Day
0.75400
Reported RN Staffing Hours per Resident per Day
0.44900
Reported Licensed Staffing Hours per Resident per Day
1.20300
Reported Total Nurse Staffing Hours per Resident per Day
3.21400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02600
Expected CNA Staffing Hours per Resident per Day
2.38011
Expected LPN Staffing Hours per Resident per Day
0.61410
Expected RN Staffing Hours per Resident per Day
0.95865
Expected Total Nurse Staffing Hours per Resident per Day
3.95286
Adjusted CNA Staffing Hours per Resident per Day
2.07318
Adjusted LPN Staffing Hours per Resident per Day
1.01908
Adjusted RN Staffing Hours per Resident per Day
0.34996
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27745
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-09-18
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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