Golden Livingcenter-westwood - Clinton Nursing Home
General Information
UPDATEFederal Provider Number
265347
Provider Name
GOLDEN LIVINGCENTER-WESTWOOD
Provider Address
1801 NORTH GAINES DRIVE
CLINTON, MO 64735
CLINTON, MO 64735
Provider Phone Number
(660) 885-8196
Provider SSA County
410
Provider County Name
Henry
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEVERLY ENTERPRISES - MISSOURI INC
Date First Approved to Provide Medicare and Medicaid services
1989-01-01
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
3
QM Rating Footnote
Staffing Rating
3
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
1.84294
Reported LPN Staffing Hours per Resident per Day
1.31000
Reported RN Staffing Hours per Resident per Day
0.44000
Reported Licensed Staffing Hours per Resident per Day
1.75000
Reported Total Nurse Staffing Hours per Resident per Day
3.59294
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05941
Expected CNA Staffing Hours per Resident per Day
2.37884
Expected LPN Staffing Hours per Resident per Day
0.59236
Expected RN Staffing Hours per Resident per Day
0.95960
Expected Total Nurse Staffing Hours per Resident per Day
3.93080
Adjusted CNA Staffing Hours per Resident per Day
1.90094
Adjusted LPN Staffing Hours per Resident per Day
1.83553
Adjusted RN Staffing Hours per Resident per Day
0.34261
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68443
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
91
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
91
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-10-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
85.50000
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
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