Overall Rating
Address
5825 St Croix Avenue
Golden Valley, MN 55422
Contact
7637321414
Certification Date
1986-07-01
CMS Certification Number
245322
Ownership Type
Non profit - Church related
Number of Certified Beds
70
Average Number of Residents per Day
57.6
Provider Type
Medicare
Legal Business Name
COVENANT LIVING OF GOLDEN VALLEY
Affiliated Entity Name
COVENANT LIVING
Affiliated Entity ID
168
Health Inspection Rating
5
Quality Measure Rating
5
Staffing Rating
4
Reported Nurse Aide Staffing Hours per Resident per Day
2.34408
Reported LPN Staffing Hours per Resident per Day
1.14281
Reported RN Staffing Hours per Resident per Day
1.13080
Reported Total Nurse Staffing Hours per Resident per Day
4.61770
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
4.08585
Registered Nurse Hours per Resident per Day on the Weekend
0.53690
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14332
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
10.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-08-31
Total Number of Health Deficiencies
1
Number of Standard Health Deficiencies
1
Number of Complaint Health Deficiencies
0
Health Deficiency Score
4
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
4
Standard Health Survey Date
2022-05-12
Total Number of Health Deficiencies
5
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
0
Health Deficiency Score
20
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
20
Standard Health Survey Date
2021-04-22
Total Number of Health Deficiencies
1
Number of Standard Health Deficiencies
1
Number of Complaint Health Deficiencies
0
Health Deficiency Score
8
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
8
Number of Fines
1
Total Amount of Fines in Dollars
15000.00
Number of Payment Denials
0
Total Number of Penalties
1