Golden Years Nursing Home - Falcon Nursing Home
General Information
UPDATEFederal Provider Number
345367
Provider Name
GOLDEN YEARS NURSING HOME
Provider Address
POST OFFICE BOX 40
FALCON, NC 28342
FALCON, NC 28342
Provider Phone Number
9109801271
Provider SSA County
250
Provider County Name
Cumberland
Ownership Type
For profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY HEALTHCARE GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
1991-05-03
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
2
Overall Rating Footnote
Health Inspection Rating
3
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
1.68889
Reported LPN Staffing Hours per Resident per Day
0.56000
Reported RN Staffing Hours per Resident per Day
0.41222
Reported Licensed Staffing Hours per Resident per Day
0.97222
Reported Total Nurse Staffing Hours per Resident per Day
2.66111
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01778
Expected CNA Staffing Hours per Resident per Day
2.67462
Expected LPN Staffing Hours per Resident per Day
0.79319
Expected RN Staffing Hours per Resident per Day
1.23198
Expected Total Nurse Staffing Hours per Resident per Day
4.69979
Adjusted CNA Staffing Hours per Resident per Day
1.54939
Adjusted LPN Staffing Hours per Resident per Day
0.58599
Adjusted RN Staffing Hours per Resident per Day
0.25001
Adjusted Total Nurse Staffing Hours per Resident per Day
2.28237
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
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
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
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
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
3445
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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