Golden Livingcenter - Windermere - Augusta Nursing Home

General Information

UPDATE
Federal Provider Number
115291
Provider Name
GOLDEN LIVINGCENTER - WINDERMERE
Provider Address
3618 J DEWEY GRAY CIRCLE
AUGUSTA, GA 30909
Provider Phone Number
(706) 860-7572
Provider SSA County
840
Provider County Name
Richmond
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GGNSC AUGUSTA WINDERMERE LLC
Date First Approved to Provide Medicare and Medicaid services
1982-04-15
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
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34112
Reported LPN Staffing Hours per Resident per Day
1.01449
Reported RN Staffing Hours per Resident per Day
0.40374
Reported Licensed Staffing Hours per Resident per Day
1.41822
Reported Total Nurse Staffing Hours per Resident per Day
3.75935
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11075
Expected CNA Staffing Hours per Resident per Day
2.50613
Expected LPN Staffing Hours per Resident per Day
0.68804
Expected RN Staffing Hours per Resident per Day
1.23149
Expected Total Nurse Staffing Hours per Resident per Day
4.42566
Adjusted CNA Staffing Hours per Resident per Day
2.29214
Adjusted LPN Staffing Hours per Resident per Day
1.22380
Adjusted RN Staffing Hours per Resident per Day
0.24497
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42402
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
649
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
649
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
357.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Fines
1
Total Amount of Fines in Dollars
69550
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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