Golden Livingcenter-pin Oaks - Mexico Nursing Home
General Information
UPDATEFederal Provider Number
265481
Provider Name
GOLDEN LIVINGCENTER-PIN OAKS
Provider Address
1525 WEST MONROE
MEXICO, MO 65265
MEXICO, MO 65265
Provider Phone Number
(573) 581-7261
Provider SSA County
30
Provider County Name
Audrain
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC MEXICO LLC
Date First Approved to Provide Medicare and Medicaid services
1992-03-01
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
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.66221
Reported LPN Staffing Hours per Resident per Day
0.75407
Reported RN Staffing Hours per Resident per Day
0.53547
Reported Licensed Staffing Hours per Resident per Day
1.28953
Reported Total Nurse Staffing Hours per Resident per Day
3.95175
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12558
Expected CNA Staffing Hours per Resident per Day
2.25542
Expected LPN Staffing Hours per Resident per Day
0.63853
Expected RN Staffing Hours per Resident per Day
1.09020
Expected Total Nurse Staffing Hours per Resident per Day
3.98415
Adjusted CNA Staffing Hours per Resident per Day
2.89626
Adjusted LPN Staffing Hours per Resident per Day
0.98019
Adjusted RN Staffing Hours per Resident per Day
0.36700
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99812
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
4.00000
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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