Golden Livingcenter - Parkway - Edwardsville Nursing Home
General Information
UPDATEFederal Provider Number
175229
Provider Name
GOLDEN LIVINGCENTER - PARKWAY
Provider Address
749 BLAKE ST
EDWARDSVILLE, KS 66111
EDWARDSVILLE, KS 66111
Provider Phone Number
(913) 422-5952
Provider SSA County
986
Provider County Name
Wyandotte
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC EDWARDSVILLE PARKWAY 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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.13140
Reported LPN Staffing Hours per Resident per Day
0.60000
Reported RN Staffing Hours per Resident per Day
0.83256
Reported Licensed Staffing Hours per Resident per Day
1.43256
Reported Total Nurse Staffing Hours per Resident per Day
3.56396
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07442
Expected CNA Staffing Hours per Resident per Day
2.27748
Expected LPN Staffing Hours per Resident per Day
0.68261
Expected RN Staffing Hours per Resident per Day
1.10612
Expected Total Nurse Staffing Hours per Resident per Day
4.06622
Adjusted CNA Staffing Hours per Resident per Day
2.29631
Adjusted LPN Staffing Hours per Resident per Day
0.72955
Adjusted RN Staffing Hours per Resident per Day
0.56240
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53300
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2012-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
148
Cycle 3 Standard Health Survey Date
2011-09-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
148
Total Weighted Health Survey Score
79.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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