Golden Livingcenter - Wausa - Wausa Nursing Home

General Information

UPDATE
Federal Provider Number
285111
Provider Name
GOLDEN LIVINGCENTER - WAUSA
Provider Address
703 SOUTH VIVIAN
WAUSA, NE 68786
Provider Phone Number
4025862216
Provider SSA County
530
Provider County Name
Knox
Ownership Type
For profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
21
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC WAUSA LLC
Date First Approved to Provide Medicare and Medicaid services
1991-09-30
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
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.77381
Reported LPN Staffing Hours per Resident per Day
0.68095
Reported RN Staffing Hours per Resident per Day
0.95000
Reported Licensed Staffing Hours per Resident per Day
1.63095
Reported Total Nurse Staffing Hours per Resident per Day
3.40476
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00238
Expected CNA Staffing Hours per Resident per Day
2.35097
Expected LPN Staffing Hours per Resident per Day
0.58317
Expected RN Staffing Hours per Resident per Day
0.82634
Expected Total Nurse Staffing Hours per Resident per Day
3.76048
Adjusted CNA Staffing Hours per Resident per Day
1.85132
Adjusted LPN Staffing Hours per Resident per Day
0.96916
Adjusted RN Staffing Hours per Resident per Day
0.85902
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64960
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
96
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
96
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-01-02
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
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
69.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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

Nursiong Homes Nearby

Good Samaritan Society - Bloomfield

P O Box 307, 300 North Second St | BLOOMFIELD NE 68718 | 9.3 miles away

Avera Creighton Care Centre

P O Box 289, 1603 Main Street | CREIGHTON NE 68729 | 19.5 miles away

Alpine Village Retirement Center

Po Box 130, 706 James Street | VERDIGRE NE 68783 | 26.2 miles away

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