Covenant Living Of Golden Valley Care & Rehab Ctr
Covenant Living Of Golden Valley Care & Rehab Ctr Information
| Facility Name | Covenant Living Of Golden Valley Care & Rehab Ctr |
| Location | 5825 St Croix Avenue, Golden Valley, MN 55422 |
| County (SSA Code) | Hennepin (260) |
| Phone Number | 763-544-1555 |
| Certification(s) | Medicare |
| Number of Beds | 38 |
| Average Number of Residents | 22.8 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | COVENANT LIVING OF GOLDEN VALLEY |
| Ownership Type | Non profit - Church related |
| Date First Approved | 1986-07-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 4.02328 |
| Reported LPN Staffing Hours per Resident per Day | 0.65714 |
| Reported RN Staffing - Hours per Resident per Day | 3.3346 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 3.99174 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 8.01502 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.28428 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.17713 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.67196 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.29891 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.148 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 8.11734 |
| Total Weighted Health Survey Score for three cycles | 24.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-08 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 28 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-05-31 |
| Rating cycle 2 - Health Deficiency Score | 28 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-07-14 |
| Rating cycle 3 - Health Deficiency Score | 56 |
| Rating cycle 3 - Total Health Inspection Score | 56 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |