Golden Villa - Atlanta Nursing Home
General Information
UPDATEFederal Provider Number
675490
Provider Name
GOLDEN VILLA
Provider Address
1104 S WILLIAM ST
ATLANTA, TX 75551
ATLANTA, TX 75551
Provider Phone Number
(903) 796-0290
Provider SSA County
260
Provider County Name
Cass
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
120
Number of Residents in Certified Beds
99
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
1995-05-26
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.51162
Reported LPN Staffing Hours per Resident per Day
1.37677
Reported RN Staffing Hours per Resident per Day
0.36869
Reported Licensed Staffing Hours per Resident per Day
1.74545
Reported Total Nurse Staffing Hours per Resident per Day
4.25708
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02576
Expected CNA Staffing Hours per Resident per Day
2.13586
Expected LPN Staffing Hours per Resident per Day
0.59825
Expected RN Staffing Hours per Resident per Day
1.10424
Expected Total Nurse Staffing Hours per Resident per Day
3.83836
Adjusted CNA Staffing Hours per Resident per Day
2.88537
Adjusted LPN Staffing Hours per Resident per Day
1.91010
Adjusted RN Staffing Hours per Resident per Day
0.24948
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47063
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
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
48
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2014-01-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
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
40
Cycle 3 Standard Health Survey Date
2013-03-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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