Golden Livingcenter-rib Lake - Rib Lake Nursing Home

General Information

UPDATE
Federal Provider Number
525329
Provider Name
GOLDEN LIVINGCENTER-RIB LAKE
Provider Address
650 PEARL ST PO BOX 308
RIB LAKE, WI 54470
Provider Phone Number
(715) 427-5291
Provider SSA County
590
Provider County Name
Taylor
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC RIB LAKE LLC
Date First Approved to Provide Medicare and Medicaid services
1982-03-14
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.96207
Reported LPN Staffing Hours per Resident per Day
0.87069
Reported RN Staffing Hours per Resident per Day
1.16034
Reported Licensed Staffing Hours per Resident per Day
2.03103
Reported Total Nurse Staffing Hours per Resident per Day
3.99310
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00517
Expected CNA Staffing Hours per Resident per Day
2.23498
Expected LPN Staffing Hours per Resident per Day
0.60939
Expected RN Staffing Hours per Resident per Day
1.01166
Expected Total Nurse Staffing Hours per Resident per Day
3.85603
Adjusted CNA Staffing Hours per Resident per Day
2.15408
Adjusted LPN Staffing Hours per Resident per Day
1.18589
Adjusted RN Staffing Hours per Resident per Day
0.85701
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17418
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-06-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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