Indiana Nursing Homes >> Fort Wayne Nursing Homes >> Golden Years Homestead

Golden Years Homestead - Fort Wayne Nursing Home

General Information

UPDATE
Federal Provider Number
155755
Provider Name
GOLDEN YEARS HOMESTEAD
Provider Address
3136 GOEGLEIN RD
FORT WAYNE, IN 46815
Provider Phone Number
(260) 749-9655
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
111
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2005-12-16
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36058
Reported LPN Staffing Hours per Resident per Day
0.92837
Reported RN Staffing Hours per Resident per Day
0.42212
Reported Licensed Staffing Hours per Resident per Day
1.35048
Reported Total Nurse Staffing Hours per Resident per Day
3.71107
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04471
Expected CNA Staffing Hours per Resident per Day
2.48666
Expected LPN Staffing Hours per Resident per Day
0.59795
Expected RN Staffing Hours per Resident per Day
0.95858
Expected Total Nurse Staffing Hours per Resident per Day
4.04319
Adjusted CNA Staffing Hours per Resident per Day
2.32929
Adjusted LPN Staffing Hours per Resident per Day
1.28865
Adjusted RN Staffing Hours per Resident per Day
0.32904
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69979
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
2013-06-25
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-08-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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