Golden Livingcenter-shippenville - Shippenville Nursing Home
General Information
UPDATEFederal Provider Number
395607
Provider Name
GOLDEN LIVINGCENTER-SHIPPENVILLE
Provider Address
21158 PAINT BOULEVARD
SHIPPENVILLE, PA 16254
SHIPPENVILLE, PA 16254
Provider Phone Number
8142265660
Provider SSA County
220
Provider County Name
Clarion
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC SHIPPENVILLE LP
Date First Approved to Provide Medicare and Medicaid services
1983-11-07
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
2
Health Inspection Rating Footnote
QM Rating
4
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
1.74423
Reported LPN Staffing Hours per Resident per Day
0.94423
Reported RN Staffing Hours per Resident per Day
0.89808
Reported Licensed Staffing Hours per Resident per Day
1.84231
Reported Total Nurse Staffing Hours per Resident per Day
3.58654
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05962
Expected CNA Staffing Hours per Resident per Day
2.41591
Expected LPN Staffing Hours per Resident per Day
0.67267
Expected RN Staffing Hours per Resident per Day
1.19217
Expected Total Nurse Staffing Hours per Resident per Day
4.28076
Adjusted CNA Staffing Hours per Resident per Day
1.77151
Adjusted LPN Staffing Hours per Resident per Day
1.16507
Adjusted RN Staffing Hours per Resident per Day
0.56288
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37720
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-19
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
29.33300
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
Nursiong Homes Nearby
Golden Livingcenter-clarion
999 Heidrick Street |
CLARION PA 16214 | 3.8 miles away
Clarview Nursing And Rehab Cen
14663 Route 68 |
SLIGO PA 16255 | 9.3 miles away
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