Golden Livingcenter-western Reserve - Erie Nursing Home
General Information
UPDATEFederal Provider Number
395262
Provider Name
GOLDEN LIVINGCENTER-WESTERN RESERVE
Provider Address
1521 WEST 54TH STREET
ERIE, PA 16509
ERIE, PA 16509
Provider Phone Number
(814) 864-0671
Provider SSA County
320
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
133
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC ERIE WESTERN RESERVE LP
Date First Approved to Provide Medicare and Medicaid services
1979-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
1.46240
Reported LPN Staffing Hours per Resident per Day
0.67054
Reported RN Staffing Hours per Resident per Day
0.93953
Reported Licensed Staffing Hours per Resident per Day
1.61008
Reported Total Nurse Staffing Hours per Resident per Day
3.07247
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04419
Expected CNA Staffing Hours per Resident per Day
2.58983
Expected LPN Staffing Hours per Resident per Day
0.75058
Expected RN Staffing Hours per Resident per Day
1.24758
Expected Total Nurse Staffing Hours per Resident per Day
4.58799
Adjusted CNA Staffing Hours per Resident per Day
1.38553
Adjusted LPN Staffing Hours per Resident per Day
0.74149
Adjusted RN Staffing Hours per Resident per Day
0.56270
Adjusted Total Nurse Staffing Hours per Resident per Day
2.69940
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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