Golden Livingcenter Trs- Edwardsville - Edwardsville Nursing Home
General Information
UPDATEFederal Provider Number
175245
Provider Name
GOLDEN LIVINGCENTER TRS- EDWARDSVILLE
Provider Address
751 BLAKE ST.
EDWARDSVILLE, KS 66111
EDWARDSVILLE, KS 66111
Provider Phone Number
(913) 441-1900
Provider SSA County
986
Provider County Name
Wyandotte
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC EDWARDSVILLE III LLC
Date First Approved to Provide Medicare and Medicaid services
1993-04-01
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.23098
Reported LPN Staffing Hours per Resident per Day
0.62772
Reported RN Staffing Hours per Resident per Day
0.47011
Reported Licensed Staffing Hours per Resident per Day
1.09783
Reported Total Nurse Staffing Hours per Resident per Day
2.32881
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01793
Expected CNA Staffing Hours per Resident per Day
1.65041
Expected LPN Staffing Hours per Resident per Day
0.51422
Expected RN Staffing Hours per Resident per Day
0.80364
Expected Total Nurse Staffing Hours per Resident per Day
2.96828
Adjusted CNA Staffing Hours per Resident per Day
1.83012
Adjusted LPN Staffing Hours per Resident per Day
1.01319
Adjusted RN Staffing Hours per Resident per Day
0.43709
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16251
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-12-05
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
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-08-31
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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