Golden Livingcenter-smithville - Smithville Nursing Home
General Information
UPDATEFederal Provider Number
265454
Provider Name
GOLDEN LIVINGCENTER-SMITHVILLE
Provider Address
106 HOSPITAL DRIVE
SMITHVILLE, MO 64089
SMITHVILLE, MO 64089
Provider Phone Number
(816) 532-0888
Provider SSA County
230
Provider County Name
Clay
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC SMITHVILLE LLC
Date First Approved to Provide Medicare and Medicaid services
1991-05-01
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
2
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
1.67647
Reported LPN Staffing Hours per Resident per Day
1.03765
Reported RN Staffing Hours per Resident per Day
0.66353
Reported Licensed Staffing Hours per Resident per Day
1.70118
Reported Total Nurse Staffing Hours per Resident per Day
3.37765
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07412
Expected CNA Staffing Hours per Resident per Day
2.46975
Expected LPN Staffing Hours per Resident per Day
0.61258
Expected RN Staffing Hours per Resident per Day
1.05646
Expected Total Nurse Staffing Hours per Resident per Day
4.13879
Adjusted CNA Staffing Hours per Resident per Day
1.66557
Adjusted LPN Staffing Hours per Resident per Day
1.40594
Adjusted RN Staffing Hours per Resident per Day
0.46930
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28960
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
44
Cycle 2 Total Health Score
132
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
77.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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