Golden Livingcenter - St Louis Park Plaza - Saint Louis Park Nursing Home
General Information
UPDATEFederal Provider Number
245148
Provider Name
GOLDEN LIVINGCENTER - ST LOUIS PARK PLAZA
Provider Address
3201 VIRGINIA AVENUE SOUTH
SAINT LOUIS PARK, MN 55426
SAINT LOUIS PARK, MN 55426
Provider Phone Number
(952) 935-0333
Provider SSA County
260
Provider County Name
Hennepin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
208
Number of Residents in Certified Beds
189
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC MINNEAPOLIS ST. LOUIS PARK LLC
Date First Approved to Provide Medicare and Medicaid services
1968-03-01
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
2
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
1.92778
Reported LPN Staffing Hours per Resident per Day
1.01799
Reported RN Staffing Hours per Resident per Day
0.57910
Reported Licensed Staffing Hours per Resident per Day
1.59709
Reported Total Nurse Staffing Hours per Resident per Day
3.52487
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06005
Expected CNA Staffing Hours per Resident per Day
2.21827
Expected LPN Staffing Hours per Resident per Day
0.60815
Expected RN Staffing Hours per Resident per Day
1.02156
Expected Total Nurse Staffing Hours per Resident per Day
3.84798
Adjusted CNA Staffing Hours per Resident per Day
2.13238
Adjusted LPN Staffing Hours per Resident per Day
1.38934
Adjusted RN Staffing Hours per Resident per Day
0.42357
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69243
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
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
48
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
46.00000
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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