Golden Livingcenter- Portsmouth - Portsmouth Nursing Home
General Information
UPDATEFederal Provider Number
495149
Provider Name
GOLDEN LIVINGCENTER- PORTSMOUTH
Provider Address
900 LONDON BOULEVARD
PORTSMOUTH, VA 23704
PORTSMOUTH, VA 23704
Provider Phone Number
(757) 393-6864
Provider SSA County
711
Provider County Name
Portsmouth City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC PORTSMOUTH LLC
Date First Approved to Provide Medicare and Medicaid services
1984-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.88504
Reported LPN Staffing Hours per Resident per Day
0.79487
Reported RN Staffing Hours per Resident per Day
0.74829
Reported Licensed Staffing Hours per Resident per Day
1.54316
Reported Total Nurse Staffing Hours per Resident per Day
3.42820
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03675
Expected CNA Staffing Hours per Resident per Day
2.67988
Expected LPN Staffing Hours per Resident per Day
0.63963
Expected RN Staffing Hours per Resident per Day
0.99848
Expected Total Nurse Staffing Hours per Resident per Day
4.31799
Adjusted CNA Staffing Hours per Resident per Day
1.72594
Adjusted LPN Staffing Hours per Resident per Day
1.03145
Adjusted RN Staffing Hours per Resident per Day
0.55998
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20027
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-06
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
73.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
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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