Golden Livingcenter Santa Rosa - Santa Rosa Nursing Home
General Information
UPDATEFederal Provider Number
55854
Provider Name
GOLDEN LIVINGCENTER SANTA ROSA
Provider Address
4650 HOEN AVENUE
SANTA ROSA, CA 95405
SANTA ROSA, CA 95405
Provider Phone Number
(707) 546-0471
Provider SSA County
590
Provider County Name
Sonoma
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEVERLY HEALTH AND REHABILITATION SERVICES, INC
Date First Approved to Provide Medicare and Medicaid services
1967-11-03
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
4
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
2.30795
Reported LPN Staffing Hours per Resident per Day
0.69830
Reported RN Staffing Hours per Resident per Day
0.91818
Reported Licensed Staffing Hours per Resident per Day
1.61648
Reported Total Nurse Staffing Hours per Resident per Day
3.92443
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11364
Expected CNA Staffing Hours per Resident per Day
2.50511
Expected LPN Staffing Hours per Resident per Day
0.65169
Expected RN Staffing Hours per Resident per Day
1.13786
Expected Total Nurse Staffing Hours per Resident per Day
4.29466
Adjusted CNA Staffing Hours per Resident per Day
2.26058
Adjusted LPN Staffing Hours per Resident per Day
0.88937
Adjusted RN Staffing Hours per Resident per Day
0.60294
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68341
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
3
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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