Golden Valley Rehabilitation And Care Center - Golden Valley Nursing Home
General Information
UPDATEFederal Provider Number
245186
Provider Name
GOLDEN VALLEY REHABILITATION AND CARE CENTER
Provider Address
7505 COUNTRY CLUB DRIVE
GOLDEN VALLEY, MN 55427
GOLDEN VALLEY, MN 55427
Provider Phone Number
(763) 450-6900
Provider SSA County
260
Provider County Name
Hennepin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
164
Number of Residents in Certified Beds
134
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1973-08-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.12687
Reported LPN Staffing Hours per Resident per Day
0.53881
Reported RN Staffing Hours per Resident per Day
1.02090
Reported Licensed Staffing Hours per Resident per Day
1.55970
Reported Total Nurse Staffing Hours per Resident per Day
3.68658
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08470
Expected CNA Staffing Hours per Resident per Day
2.60105
Expected LPN Staffing Hours per Resident per Day
0.72771
Expected RN Staffing Hours per Resident per Day
1.19201
Expected Total Nurse Staffing Hours per Resident per Day
4.52077
Adjusted CNA Staffing Hours per Resident per Day
2.00638
Adjusted LPN Staffing Hours per Resident per Day
0.61455
Adjusted RN Staffing Hours per Resident per Day
0.63994
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28710
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-12-12
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
0
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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