Golden Living Center - Hy-lond
3408 East Shields Avenue, Fresno, CA 93726


Golden Living Center - Hy-lond is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055996. The address is 3408 East Shields Avenue, Fresno, CA 93726. The zip code is 93726. The phone number is 5592274063.


Golden Living Center - Hy-lond · 3408 East Shields Avenue, Fresno, CA 93726

Federal Provider Number 055996
Provider Name GOLDEN LIVING CENTER - HY-LOND
Address 3408 EAST SHIELDS AVENUE
FRESNO, CA 93726
Phone Number 5592274063
SSA County Code 90
County Name Fresno
Ownership Type For profit - Corporation
Certified Beds 121
Certified Beds Residents 102
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BEVERLY HEALTHCARE - CALIFORNIA INC
Date First Approved to Provide Medicare Medicaid Services 11/27/1968
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.49559
Reported LPN Staffing Hours per Resident per Day 0.55686
Reported RN Staffing Hours per Resident per Day 0.81863
Reported Licensed Staffing Hours per Resident per Day 1.37549
Reported Total Nurse Staffing Hours per Resident per Day 3.87108
Reported Physical Therapist Staffing Hours per Resident Per Day 0.08186
Expected CNA Staffing Hours per Resident per Day 2.56022
Expected LPN Staffing Hours per Resident per Day 0.65664
Expected RN Staffing Hours per Resident per Day 1.14067
Expected Total Nurse Staffing Hours per Resident per Day 4.35752
Adjusted CNA Staffing Hours per Resident per Day 2.39176
Adjusted LPN Staffing Hours per Resident per Day 0.70388
Adjusted RN Staffing Hours per Resident per Day 0.53625
Adjusted Total Nurse Staffing Hours per Resident per Day 3.58092
Cycle 1 Total Number of Health Deficiencies 9
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Number of Complaint Health Deficiencies 9
Cycle 1 Health Deficiency Score 60
Cycle 1 Standard Survey Health Date 12/16/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 60
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 09/18/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 08/21/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 39.333
Number of Facility Reported Incidents 3
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Golden Living Center - Hy-lond

Owner Name Role Association Date
BEVERLY ENTERPRISES INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/03/1980
BEVERLY HEALTH AND REHABILITATION SERVICES, INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/03/1980
CHAVIS, TINA (Individual) OFFICER since 08/15/2006
CITIBANK N.A. (Organization) 5% OR GREATER SECURITY INTEREST since 05/04/2011
DRUMM MERGER CO (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
FILLMORE STRATEGIC INVESTORS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
HELM, PAUL (Individual) OFFICER since 01/02/2012
JOSEPH, LARRY (Individual) OFFICER since 08/15/2006
MCQUONE, LISA (Individual) MANAGING EMPLOYEE since 05/19/2008
PEARL SENIOR CARE, LLC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
RASMUSSEN-JONES, HOLLY (Individual) OFFICER since 08/15/2006
ROBERTS, MAUREEN (Individual) DIRECTOR since 01/01/2007
ROGERS, STACEY (Individual) OFFICER since 04/19/2012
SALAMONE, SALVATORE (Individual) OFFICER since 04/16/2011
SUTTON, HOLLY (Individual) OFFICER since 08/15/2006
SWARTZ, GREGORY (Individual) OFFICER since 08/15/2006
TRUITT, ANN (Individual) OFFICER since 08/15/2006
VARDELL, KATHLEEN (Individual) OFFICER since 08/01/2012
WASHINGTON STATE INVESTMENT BOARD (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
WILLIAMS, ROBERTA (Individual) OFFICER since 08/15/2006

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