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Golden Livingcenter-Sleepy Hollow

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About Golden Livingcenter-Sleepy Hollow

General Information

Legal Business NameBeverly Enterprises - Virginia, Inc
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 1, 1985 (32 years)
Capacity222
Residents187
Percent Occupied84%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Golden Livingcenter-Sleepy Hollow

Golden Livingcenter-Sleepy Hollow
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Virginia Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

May 7, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$91,260 fine
GFewActual HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

February 19, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

February 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaint+InspectionEnsure that residents are safe from serious medication errors.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionMake sure that special or therapeutic diets are ordered by the attending doctor.
DFewPotential for HarmComplaint+InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaint+InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

January 16, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionEnsure 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.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Golden Livingcenter-Sleepy Hollow require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 10min
2hr 30min
ReportedExpected
CNA
40min
40min
ReportedExpected
LPN
40min
1hr 5min
ReportedExpected
RN
3hr 30min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

96.4%
95.6%
95.6%
93.8%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
86.2%
63.1%
52.1%
92.0%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Pneumococcal Vaccine
81.0%
75.5%
77.6%
52.4%
Q1 2015Q2 2015Q3 2015VA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
25.3%
22.5%
19.3%
17.3%
Q1 2015Q2 2015Q3 2015VA
Received an Antipsychotic Medication
12.2%
24.3%
9.7%
17.6%
Q1 2015Q2 2015Q3 2015VA
Need for Help with ADLs has Increased
1.5%
0.0%
1.8%
9.2%
Q1 2015Q2 2015Q3 2015VA
Self Report Moderate to Severe Pain
10.6%
2.6%
1.8%
7.9%
Q1 2015Q2 2015Q3 2015VA
Lose Too Much Weight
9.9%
10.8%
7.0%
6.2%
Q1 2015Q2 2015Q3 2015VA
High Risk Residents With Pressure Ulcers
0.0%
0.7%
0.0%
2.9%
Q1 2015Q2 2015Q3 2015VA
Have Depressive Symptoms
3.7%
1.3%
2.4%
6.1%
Q1 2015Q2 2015Q3 2015VA
With a Urinary Tract Infection
3.6%
3.2%
1.8%
3.5%
Q1 2015Q2 2015Q3 2015VA
Experiencing One or More Falls with Major Injury
2.4%
3.6%
4.1%
2.8%
Q1 2015Q2 2015Q3 2015VA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015VA
Were Physically Restrained

Quality Measures for Short Stay Residents

60.0%
47.8%
25.2%
81.6%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Pneumococcal Vaccine
63.6%
48.4%
48.4%
81.9%
Q1 2015Q2 2015Q3 2015VA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
20.3%
13.7%
5.6%
17.4%
Q1 2015Q2 2015Q3 2015VA
Self Report Moderate to Severe Pain
2.7%
3.2%
0.0%
2.1%
Q1 2015Q2 2015Q3 2015VA
Newly Received an Antipsychotic Medication
0.5%
1.2%
0.5%
1.0%
Q1 2015Q2 2015Q3 2015VA
With Pressure Ulcers That Are New or Worsened