Golden Years Health Center - Walworth Nursing Home
General Information
UPDATEFederal Provider Number
525677
Provider Name
GOLDEN YEARS HEALTH CENTER
Provider Address
270 RIDGE ROAD
WALWORTH, WI 53184
WALWORTH, WI 53184
Provider Phone Number
(262) 275-6103
Provider SSA County
630
Provider County Name
Walworth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
28
Number of Residents in Certified Beds
21
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
GOLDEN YEARS NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
2004-09-02
Continuing Care Retirement Community
Y
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
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.41905
Reported LPN Staffing Hours per Resident per Day
0.80476
Reported RN Staffing Hours per Resident per Day
1.03571
Reported Licensed Staffing Hours per Resident per Day
1.84048
Reported Total Nurse Staffing Hours per Resident per Day
5.25952
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02619
Expected CNA Staffing Hours per Resident per Day
2.69139
Expected LPN Staffing Hours per Resident per Day
0.57191
Expected RN Staffing Hours per Resident per Day
0.85265
Expected Total Nurse Staffing Hours per Resident per Day
4.11596
Adjusted CNA Staffing Hours per Resident per Day
3.11709
Adjusted LPN Staffing Hours per Resident per Day
1.16792
Adjusted RN Staffing Hours per Resident per Day
0.90762
Adjusted Total Nurse Staffing Hours per Resident per Day
5.15083
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-31
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
12.00000
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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