Golden Age Manor
Golden Age Manor Information
| Facility Name | Golden Age Manor |
| Location | 220 Scholl Ct, Amery, WI 54001 |
| County (SSA Code) | Polk (470) |
| Phone Number | 715-268-7107 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 109 |
| Average Number of Residents | 69.2 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay 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 | POLK COUNTY-DEPT OF ADMINISTRATION |
| Ownership Type | Government - County |
| Date First Approved | 1993-05-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.33928 |
| Reported LPN Staffing Hours per Resident per Day | 0.56724 |
| Reported RN Staffing - Hours per Resident per Day | 0.7919 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.35913 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.69841 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.00878 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.96379 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.64636 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.29569 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.90584 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.05777 |
| Total Weighted Health Survey Score for three cycles | 47.333 |
| Rating cycle 1 Standard Survey Health Date | 2020-01-16 |
| Rating cycle 1 - Health Deficiency Score | 7 |
| Rating cycle 1 - Total Health Inspection Score | 32 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-12-13 |
| Rating cycle 2 - Health Deficiency Score | 32 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-05 |
| Rating cycle 3 - Health Deficiency Score | 52 |
| Rating cycle 3 - Total Health Inspection Score | 52 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 20352 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |