General Information: GOLDEN LIVINGCENTER-BEAVER DAM
Nursing home name GOLDEN LIVINGCENTER-BEAVER DAM
Address410 ROEDL CT
BEAVER DAM, WI 53916
Phone number (920) 887-7191
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 90
Total number of residents 71
Perc of occupied beds 78
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: GOLDEN LIVINGCENTER-BEAVER DAM
Overall rating 2
2
Nursing Home Staffing 3
3
Registered Nurses only 4
4
Health Inspections 1
1
Quality Measures 5
5
Nursing Home Staffing Info: GOLDEN LIVINGCENTER-BEAVER DAM
National AverageWisconsin AverageGOLDEN LIVINGCENTER-BEAVER DAM
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 71
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.16 hours 3.27 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.55 hours 1.31 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.0 hours 0.82 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.55 hours 0.5 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.61 hours 1.96 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.09 hours 0.04 hours
Health Survey: GOLDEN LIVINGCENTER-BEAVER DAM
Heath Survey Summary on 2014-02-25
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern /Immediate jeopardy to resident health or safety
Heath Survey Summary on 2012-11-19
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-09-01
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: GOLDEN LIVINGCENTER-BEAVER DAM
Inspection Results: 02/25/2014
Corrected Deficiency Scope and Severity
Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern /Immediate jeopardy to resident health or safety
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern/Minimal harm or potential for actual harm
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Isolated/Minimal harm or potential for actual harm
Inspection Results: 11/19/2012
Corrected Deficiency Scope and Severity
01/10/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
01/10/2013 Allow residents to self-administer drugs if determined safe. Isolated/Minimal harm or potential for actual harm
01/10/2013 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
Inspection Results: 09/01/2011
Corrected Deficiency Scope and Severity
09/30/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
09/30/2011 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
09/30/2011 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
09/30/2011 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
09/30/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
09/30/2011 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
09/30/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: GOLDEN LIVINGCENTER-BEAVER DAM
Fire Safety Survey Summary on 2014-02-12
Total Number of Fire SafetyDeficiencies 11
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-11-14
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-08-29
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: GOLDEN LIVINGCENTER-BEAVER DAM
Fire Safety Survey Results: 02/12/2014
Corrected Deficiency Severity
Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
Rooms that can be unlocked from inside without a key. Pattern/Minimal harm or potential for actual harm
Properly located and lighted "Exit" signs. Pattern/Minimal harm or potential for actual harm
Record of quarterly fire drills for each shift under varying conditions. Widespread /Minimal harm or potential for actual harm
An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm
An approved automatic sprinkler system connected to the fire alarm system. Widespread /Minimal harm or potential for actual harm
Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Widespread /Minimal harm or potential for actual harm
Properly protected cooking facilities. Pattern/Minimal harm or potential for actual harm
Exits that are free from obstructions and can be used at all times. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 11/14/2012
Corrected Deficiency Severity
12/06/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
11/15/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 08/29/2011
Corrected Deficiency Severity
09/20/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
09/20/2011 Proper stairway enclosures and vertical shafts. Isolated/Minimal harm or potential for actual harm
09/06/2011 An approved automatic sprinkler system connected to the fire alarm system. Pattern/Minimal harm or potential for actual harm
09/20/2011 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
09/19/2011 Proper facilities for the use and storage of combustible liquids. Pattern/Minimal harm or potential for actual harm

Resident Complaints: GOLDEN LIVINGCENTER-BEAVER DAM
Not available

Quality Measures: GOLDEN LIVINGCENTER-BEAVER DAM
Quality Measures National Average Wisconsin Average GOLDEN LIVINGCENTER-BEAVER DAM
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 14.4% 9.0%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.0% 12.4%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 4.3% 4.6%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.0% 4.3%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.7% 38.2%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.8% 3.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.5% 3.3%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 5.8% 5.2%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.7% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 0.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 94.4% 93.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 98.2% 91.4%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 11.8%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.1% 19.3%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 0.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 88.6% 74.1%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 91.2% 81.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 1.5% 3.2%

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