Wisconsin Nursing Homes >> Saint Francis Nursing Homes >> Golden Livingcenter-south Shore

Golden Livingcenter-south Shore - Saint Francis Nursing Home

General Information

UPDATE
Federal Provider Number
525477
Provider Name
GOLDEN LIVINGCENTER-SOUTH SHORE
Provider Address
1915 E TRIPOLI AVE
SAINT FRANCIS, WI 53235
Provider Phone Number
(414) 483-3611
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEVERLY ENTERPRISES - WISCONSIN INC
Date First Approved to Provide Medicare and Medicaid services
1991-11-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
2.41379
Reported LPN Staffing Hours per Resident per Day
0.95345
Reported RN Staffing Hours per Resident per Day
0.73793
Reported Licensed Staffing Hours per Resident per Day
1.69138
Reported Total Nurse Staffing Hours per Resident per Day
4.10517
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01724
Expected CNA Staffing Hours per Resident per Day
2.56399
Expected LPN Staffing Hours per Resident per Day
0.57566
Expected RN Staffing Hours per Resident per Day
0.77830
Expected Total Nurse Staffing Hours per Resident per Day
3.91795
Adjusted CNA Staffing Hours per Resident per Day
2.30996
Adjusted LPN Staffing Hours per Resident per Day
1.37471
Adjusted RN Staffing Hours per Resident per Day
0.70844
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22351
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-03-19
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-05-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
46.66700
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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