Golden Livingcenter-shenandoah Valley - Buena Vista Nursing Home
General Information
UPDATEFederal Provider Number
495168
Provider Name
GOLDEN LIVINGCENTER-SHENANDOAH VALLEY
Provider Address
3737 CATALPA AVE, PO BOX 711
BUENA VISTA, VA 24416
BUENA VISTA, VA 24416
Provider Phone Number
5402617444
Provider SSA County
141
Provider County Name
Buena Vista City
Ownership Type
For profit - Corporation
Number of Certified Beds
93
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC BUENA VISTA LLC
Date First Approved to Provide Medicare and Medicaid services
1987-01-27
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
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.15584
Reported LPN Staffing Hours per Resident per Day
0.60325
Reported RN Staffing Hours per Resident per Day
0.99740
Reported Licensed Staffing Hours per Resident per Day
1.60065
Reported Total Nurse Staffing Hours per Resident per Day
3.75649
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06558
Expected CNA Staffing Hours per Resident per Day
2.42872
Expected LPN Staffing Hours per Resident per Day
0.69508
Expected RN Staffing Hours per Resident per Day
1.15152
Expected Total Nurse Staffing Hours per Resident per Day
4.27533
Adjusted CNA Staffing Hours per Resident per Day
2.17801
Adjusted LPN Staffing Hours per Resident per Day
0.72034
Adjusted RN Staffing Hours per Resident per Day
0.64719
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54172
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-10-15
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
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-10-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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