Golden Livingcenter-summit - Wilkes-barre Nursing Home
General Information
UPDATEFederal Provider Number
395456
Provider Name
GOLDEN LIVINGCENTER-SUMMIT
Provider Address
50 N. PENNSYLVANIA AVE.
WILKES-BARRE, PA 18701
WILKES-BARRE, PA 18701
Provider Phone Number
(570) 825-3488
Provider SSA County
480
Provider County Name
Luzerne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC WILKES-BARRE II LP
Date First Approved to Provide Medicare and Medicaid services
1979-12-03
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.72056
Reported LPN Staffing Hours per Resident per Day
0.77383
Reported RN Staffing Hours per Resident per Day
0.54720
Reported Licensed Staffing Hours per Resident per Day
1.32103
Reported Total Nurse Staffing Hours per Resident per Day
3.04159
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06355
Expected CNA Staffing Hours per Resident per Day
2.51403
Expected LPN Staffing Hours per Resident per Day
0.71334
Expected RN Staffing Hours per Resident per Day
1.20215
Expected Total Nurse Staffing Hours per Resident per Day
4.42952
Adjusted CNA Staffing Hours per Resident per Day
1.67927
Adjusted LPN Staffing Hours per Resident per Day
0.90038
Adjusted RN Staffing Hours per Resident per Day
0.34011
Adjusted Total Nurse Staffing Hours per Resident per Day
2.76787
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
52
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-05-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2013-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
12
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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