Golden Livingcenter-petersburg - Petersburg Nursing Home
General Information
UPDATEFederal Provider Number
495144
Provider Name
GOLDEN LIVINGCENTER-PETERSBURG
Provider Address
287 EAST SOUTH BOULEVARD
PETERSBURG, VA 23805
PETERSBURG, VA 23805
Provider Phone Number
(804) 733-1190
Provider SSA County
701
Provider County Name
Petersburg City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEVERLY ENTERPRISES - VIRGINIA, INC
Date First Approved to Provide Medicare and Medicaid services
1984-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.67675
Reported LPN Staffing Hours per Resident per Day
0.94518
Reported RN Staffing Hours per Resident per Day
0.33026
Reported Licensed Staffing Hours per Resident per Day
1.27544
Reported Total Nurse Staffing Hours per Resident per Day
2.95219
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.63752
Expected LPN Staffing Hours per Resident per Day
0.66883
Expected RN Staffing Hours per Resident per Day
0.95997
Expected Total Nurse Staffing Hours per Resident per Day
4.26632
Adjusted CNA Staffing Hours per Resident per Day
1.55989
Adjusted LPN Staffing Hours per Resident per Day
1.17294
Adjusted RN Staffing Hours per Resident per Day
0.25706
Adjusted Total Nurse Staffing Hours per Resident per Day
2.78928
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-11-14
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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