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Golden Livingcenter - Omaha - Omaha Nursing Home

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Federal Provider Number
285097
Provider Name
GOLDEN LIVINGCENTER - OMAHA
Provider Address
5505 GROVER STREET
OMAHA, NE 68106
Provider Phone Number
(402) 558-0225
Provider SSA County
270
Provider County Name
Douglas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
155
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC OMAHA HALLMARK LLC
Date First Approved to Provide Medicare and Medicaid services
1990-05-18
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
1.12386
Reported LPN Staffing Hours per Resident per Day
0.92443
Reported RN Staffing Hours per Resident per Day
0.51932
Reported Licensed Staffing Hours per Resident per Day
1.44375
Reported Total Nurse Staffing Hours per Resident per Day
2.56761
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07784
Expected CNA Staffing Hours per Resident per Day
2.39211
Expected LPN Staffing Hours per Resident per Day
0.71023
Expected RN Staffing Hours per Resident per Day
1.15473
Expected Total Nurse Staffing Hours per Resident per Day
4.25707
Adjusted CNA Staffing Hours per Resident per Day
1.15280
Adjusted LPN Staffing Hours per Resident per Day
1.08033
Adjusted RN Staffing Hours per Resident per Day
0.33604
Adjusted Total Nurse Staffing Hours per Resident per Day
2.43120
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-04-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-12-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
57.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
13
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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