Golden Livingcenter - Shafter - Shafter Nursing Home
General Information
UPDATEFederal Provider Number
56035
Provider Name
GOLDEN LIVINGCENTER - SHAFTER
Provider Address
140 EAST TULARE AVENUE
SHAFTER, CA 93263
SHAFTER, CA 93263
Provider Phone Number
(661) 746-3912
Provider SSA County
140
Provider County Name
Kern
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC SHAFTER LP
Date First Approved to Provide Medicare and Medicaid services
1971-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.27337
Reported LPN Staffing Hours per Resident per Day
0.71685
Reported RN Staffing Hours per Resident per Day
0.57283
Reported Licensed Staffing Hours per Resident per Day
1.28967
Reported Total Nurse Staffing Hours per Resident per Day
3.56305
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05598
Expected CNA Staffing Hours per Resident per Day
2.54056
Expected LPN Staffing Hours per Resident per Day
0.59722
Expected RN Staffing Hours per Resident per Day
0.86197
Expected Total Nurse Staffing Hours per Resident per Day
3.99975
Adjusted CNA Staffing Hours per Resident per Day
2.19565
Adjusted LPN Staffing Hours per Resident per Day
0.99625
Adjusted RN Staffing Hours per Resident per Day
0.49656
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59080
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-04-24
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
15
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2013-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
93.33300
Number of Facility Reported Incidents
7
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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