Golden Livingcenter-riverdale - Muscoda Nursing Home

General Information

UPDATE
Federal Provider Number
525321
Provider Name
GOLDEN LIVINGCENTER-RIVERDALE
Provider Address
1000 N WISCONSIN AVE
MUSCODA, WI 53573
Provider Phone Number
(608) 739-3186
Provider SSA County
210
Provider County Name
Grant
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
58
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC MUSCODA LLC
Date First Approved to Provide Medicare and Medicaid services
1982-07-01
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
1
Health Inspection Rating Footnote
QM Rating
5
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
1.84151
Reported LPN Staffing Hours per Resident per Day
0.30849
Reported RN Staffing Hours per Resident per Day
0.90094
Reported Licensed Staffing Hours per Resident per Day
1.20943
Reported Total Nurse Staffing Hours per Resident per Day
3.05094
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01509
Expected CNA Staffing Hours per Resident per Day
2.23943
Expected LPN Staffing Hours per Resident per Day
0.65135
Expected RN Staffing Hours per Resident per Day
1.05190
Expected Total Nurse Staffing Hours per Resident per Day
3.94268
Adjusted CNA Staffing Hours per Resident per Day
2.01771
Adjusted LPN Staffing Hours per Resident per Day
0.39310
Adjusted RN Staffing Hours per Resident per Day
0.63997
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11921
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2014-01-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
120
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-31
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
86.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
5363
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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