Wisconsin Nursing Homes >> Green Bay Nursing Homes >> Golden Livingcenter-village Gardens

Golden Livingcenter-village Gardens - Green Bay Nursing Home

General Information

UPDATE
Federal Provider Number
525342
Provider Name
GOLDEN LIVINGCENTER-VILLAGE GARDENS
Provider Address
1640 SHAWANO AVE
GREEN BAY, WI 54303
Provider Phone Number
(920) 499-5177
Provider SSA County
40
Provider County Name
Brown
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEVERLY ENTERPRISES - WISCONSIN INC
Date First Approved to Provide Medicare and Medicaid services
1983-12-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.90926
Reported LPN Staffing Hours per Resident per Day
0.30556
Reported RN Staffing Hours per Resident per Day
0.96790
Reported Licensed Staffing Hours per Resident per Day
1.27346
Reported Total Nurse Staffing Hours per Resident per Day
3.18272
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03765
Expected CNA Staffing Hours per Resident per Day
2.31020
Expected LPN Staffing Hours per Resident per Day
0.66148
Expected RN Staffing Hours per Resident per Day
1.18868
Expected Total Nurse Staffing Hours per Resident per Day
4.16036
Adjusted CNA Staffing Hours per Resident per Day
2.02786
Adjusted LPN Staffing Hours per Resident per Day
0.38340
Adjusted RN Staffing Hours per Resident per Day
0.60842
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08369
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-15
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-10-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
1
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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