Golden Livingcenter - Valhaven - Valley Nursing Home
General Information
UPDATEFederal Provider Number
285117
Provider Name
GOLDEN LIVINGCENTER - VALHAVEN
Provider Address
300 WEST MEIGS STREET
VALLEY, NE 68064
VALLEY, NE 68064
Provider Phone Number
4023592533
Provider SSA County
270
Provider County Name
Douglas
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEVERLY ENTERPRISES - NEBRASKA INC
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
1.56083
Reported LPN Staffing Hours per Resident per Day
0.71167
Reported RN Staffing Hours per Resident per Day
0.43250
Reported Licensed Staffing Hours per Resident per Day
1.14417
Reported Total Nurse Staffing Hours per Resident per Day
2.70500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05917
Expected CNA Staffing Hours per Resident per Day
2.50279
Expected LPN Staffing Hours per Resident per Day
0.64326
Expected RN Staffing Hours per Resident per Day
1.01061
Expected Total Nurse Staffing Hours per Resident per Day
4.15667
Adjusted CNA Staffing Hours per Resident per Day
1.53022
Adjusted LPN Staffing Hours per Resident per Day
0.91826
Adjusted RN Staffing Hours per Resident per Day
0.31977
Adjusted Total Nurse Staffing Hours per Resident per Day
2.62316
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-16
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
12
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
2925
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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