Golden Livingcenter - Wilson - Wilson Nursing Home
General Information
UPDATEFederal Provider Number
175205
Provider Name
GOLDEN LIVINGCENTER - WILSON
Provider Address
611 31ST ST PO BOX 160
WILSON, KS 67490
WILSON, KS 67490
Provider Phone Number
(785) 658-2505
Provider SSA County
260
Provider County Name
Ellsworth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC WILSON LLC
Date First Approved to Provide Medicare and Medicaid services
1991-05-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.50441
Reported LPN Staffing Hours per Resident per Day
0.36176
Reported RN Staffing Hours per Resident per Day
0.56471
Reported Licensed Staffing Hours per Resident per Day
0.92647
Reported Total Nurse Staffing Hours per Resident per Day
2.43088
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01618
Expected CNA Staffing Hours per Resident per Day
2.41881
Expected LPN Staffing Hours per Resident per Day
0.66187
Expected RN Staffing Hours per Resident per Day
1.01008
Expected Total Nurse Staffing Hours per Resident per Day
4.09076
Adjusted CNA Staffing Hours per Resident per Day
1.52611
Adjusted LPN Staffing Hours per Resident per Day
0.45365
Adjusted RN Staffing Hours per Resident per Day
0.41774
Adjusted Total Nurse Staffing Hours per Resident per Day
2.39531
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-05-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
32
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
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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Good Samaritan Society - Ellsworth Village
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ELLSWORTH KS 67439 | 14.9 miles away