Golden Livingcenter - Springfield - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
445137
Provider Name
GOLDEN LIVINGCENTER - SPRINGFIELD
Provider Address
104 WATSON ROAD
SPRINGFIELD, TN 37172
SPRINGFIELD, TN 37172
Provider Phone Number
(615) 384-9565
Provider SSA County
730
Provider County Name
Robertson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC SPRINGFIELD LLC
Date First Approved to Provide Medicare and Medicaid services
1980-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06951
Reported LPN Staffing Hours per Resident per Day
0.74756
Reported RN Staffing Hours per Resident per Day
1.00000
Reported Licensed Staffing Hours per Resident per Day
1.74756
Reported Total Nurse Staffing Hours per Resident per Day
3.81707
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06707
Expected CNA Staffing Hours per Resident per Day
2.37285
Expected LPN Staffing Hours per Resident per Day
0.60614
Expected RN Staffing Hours per Resident per Day
0.98442
Expected Total Nurse Staffing Hours per Resident per Day
3.96340
Adjusted CNA Staffing Hours per Resident per Day
2.14003
Adjusted LPN Staffing Hours per Resident per Day
1.02365
Adjusted RN Staffing Hours per Resident per Day
0.75903
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88208
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2013-09-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2012-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
136
Cycle 3 Standard Health Survey Date
2011-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
136
Total Weighted Health Survey Score
97.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
14625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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