Golden Livingcenter-riverview - Tomahawk Nursing Home
General Information
UPDATEFederal Provider Number
525332
Provider Name
GOLDEN LIVINGCENTER-RIVERVIEW
Provider Address
428 N 6TH ST
TOMAHAWK, WI 54487
TOMAHAWK, WI 54487
Provider Phone Number
(715) 453-2511
Provider SSA County
340
Provider County Name
Lincoln
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC TOMAHAWK RIVERVIEW LLC
Date First Approved to Provide Medicare and Medicaid services
1983-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
1.88523
Reported LPN Staffing Hours per Resident per Day
0.33636
Reported RN Staffing Hours per Resident per Day
1.02159
Reported Licensed Staffing Hours per Resident per Day
1.35795
Reported Total Nurse Staffing Hours per Resident per Day
3.24318
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14318
Expected CNA Staffing Hours per Resident per Day
2.47998
Expected LPN Staffing Hours per Resident per Day
0.65260
Expected RN Staffing Hours per Resident per Day
1.14382
Expected Total Nurse Staffing Hours per Resident per Day
4.27640
Adjusted CNA Staffing Hours per Resident per Day
1.86525
Adjusted LPN Staffing Hours per Resident per Day
0.42780
Adjusted RN Staffing Hours per Resident per Day
0.66735
Adjusted Total Nurse Staffing Hours per Resident per Day
3.05700
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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