Golden Living Greensboro

Golden LivingCenter Greensboro

Golden Living Greensboro is located at 1201 Carolina Street. Golden Living is a 105 bed facility, which is larger than most nursing homes in North Carolina. The listed owner of Golden Living is GGNSC Greensboro II, LLC. This facility is most likely actually operated by Beverly Healthcare which is a national chain of nursing homes. Beverly Healthcare doesn't exactly have a great reputation. You can see why GGNSC or "Golden Living" is a more appealing name than Beverly.

2015 REVIEW:Golden Livingcenter Greensboro has fallen from a 4 star facility all the way down to 1 star. 1 star is classified as “Much Below Average.” The staffing levels at Golden Living Greensboro are 3 star average:

Golden Living NC Average
Total number of residents 81 87.2 87.4
Total number of licensed nurse staff hours per resident per day 1 hour and 37 minutes 1 hour and 39 minutes 1 hour and 40 minutes
RN hours per resident per day 40 minutes 46 minutes 50 minutes
LPN/LVN hours per resident per day 57 minutes 53 minutes 50 minutes
CNA hours per resident per day 2 hours and 6 minutes 2 hours and 24 minutes 2 hours and 27 minutes
Physical therapy staff hours per resident per day 3 minutes 6 minutes 6 minutes

As you can see, the CNA staffing levels are significantly less than the NC average. The average nursing home in NC doesn't have sufficient staff. So, having less than the average is indicative of a problem.

Quality Measures- this year is 2 stars which is "Below Average". In particular the pain levels reported by residents at this Golden Living facility are much higher than expected. Also, the incidence rate of incontinence are 50% higher than the state average. This can sometimes simply mean that residents are classified as incontinent so that staff can put diapers on them instead of taking them to the bathroom.

Health Inspection in March 2015 Golden Living received 7 deficiencies and the state average is only 4. Click on the inspection report to see the full findings.

Conclusion- Golden Living Greensboro should be ranked higher than 1 star. It should probably be closer to a 2-3 star or average facility. The staffing levels are essentially average, and their CNA staff levels has improved since 2013. The Quality Measures were low but not terribly low. While the inspections did find 7 deficiencies, they don't appear to warrant such a low overall rating. The Golden Living Greensboro nursing home is just below an average home in the Piedmont area.

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2013 Review: Golden Living is a four star facility which means above average. If you want to see a comparison of Greensboro area nursing homes, you can see my nursing home rankings. As always though, the Medicare CMS star rating really doesn't give you enough information. In this case, we need to look at their staffing levels, which is a two star rating below average:

GOLDEN LIVINGCENTER - GREENSBORO

NORTH CAROLINA AVERAGE

NATIONAL AVERAGE

Total Number of Residents

95

88.9

88.2

Total Number of Licensed Nurse Staff Hours per Resident per day

1 hour
22 minutes

1 hour
36 minutes

1 hour
36 minutes

RN Hours per Resident per Day

42 minutes

45 minutes

47 minutes

LPN/LVN Hours per Resident per Day

40 minutes

52 minutes

50 minutes

CNA Hours per Resident per Day

1 hour
52 minutes

2 hours
25 minutes

2 hours
27 minutes

Physical Therapy Staff Hours per Resident per Day

7 minutes

7 minutes

6 minutes

(The far right numbers are the US averages, the middle is the NC average, and the left column is Golden Living Greensboro) First, you can see that the licensed staff numbers are low. In particular, the LPN staffing of 40 minutes is substantially less than the NC average of 52 minutes. The NC average is essentially about 33% higher than at Golden Living. This is important as the "average" number in NC doesn't mean "enough". In other words, the average nursing home in NC is already fairly understaffed. So, what does 33% less LPN staff mean for resident care at Golden Living?

In addition to the low LPN staffing, the CNA staffing levels are also low. At Golden Living, the CNA staffing is 1 hour and 52 minutes while the NC average is 2 hours and 25 minutes. Lower CNA staffing can show up in homes when residents aren't got out of bed, fed and changed in a timely fashion.

As for inspections, Golden Living is above average four stars. They got four deficiencies, which is the average in NC. If you look at the deficiencies, you get a mixed picture. First, the state classifies them as Level 2 which means minimal harm. However, the actual deficiencies include failure to prevent pressure sores, ensure nutritional status and care for residents. Pressure sores and malnutrition are serious problems and can reflect low CNA staffing levels. On the other hand, the Quality Indicators show that the overall incidence of pressure sores in long term stay residents is lower than the state average. The Quality Measures are four stars which is above average. Ultimately, with an overall four stars the facility has done well. I am concerned about the low staffing levels, as that typically causes problems.

-------------------2012 Review is below

Golden Living Greensboro has one hundred and five beds. Golden Living has an overall rating of four stars, but their staffing rating is two stars. Their number of licensed nursing staff is right around the state average in NC. However, their CNA staffing levels are lower. The Golden Living Greensboro CNA staffing is just under 2 hours per resident day. The average in NC for CNA hours is just under 2.5 hours. Therefore, the state average is about 25% higher than at this facility. This explains the two stars for staffing, which is "below average".

Since CNAs do the bulk of the work, usually around 80% of direct care, low numbers can have a bad effect. CNAs keep the residents fed, changed, clean and out of bed. With low numbers of CNAs you will sometimes see basic care not being completed. Back in 2008, this same facility reported 3 hours and 28 minutes CNA. So, this is large reduction in CNA staffing levels. Remember, this isn't total hours but the number of hours per resident. Changes in the number of residents will not change this number as long as staff numbers increase as the census increases.

The Quality Measures for Golden Living Greensboro is also below average two stars. Most indicators were around the state average, except the reports of pain were higher, incidents of pressure sores were higher, the incidence of incontinence was much higher. On the other hand, no residents had depressive symptoms. One strong point was the low use of antipsychotics, which was half of the average in other NC nursing homes. Many nursing homes are overusing antipsychotics, but this facility is not. During their last survey, Golden Living Greensboro only got one deficiency which is excellent. The average in NC is four. Also, that one deficiency was a minor issue.

Golden Living Greensboro is owned by GGNSC Greensboro II, LLC. GGNSC appears to be a Delaware Corporation with a principal office in Fort Smith Arkansas. The only officer listed on the NC Secretary of State website is GGNSC Equity Holdings, Inc. This is confusing as when you try to research this company, it looks like Golden Living sold all of its nursing homes in Arkansas: http://www.thecitywire.com/?q=node/4839 Apparently, they still may operate some in North Carolina. When you try to further research this company officer/owner, you may discover an apparent class action in California: http://www.golden-living-classaction.com/documents/Second-Amended-Complaint.1.pdf There also appears to be some relationship with Beverly Enterprises. Honestly, it is too complicated for me to continue trying to figure out this corporate relationship. I was just trying to identify the owner as some of the larger chains do have systemic problems with their homes.

If you have any further information on this facility, please forward it to me. Even though I am a nursing home abuse attorney, my goal here is to provide information. If you have relevant and informative information, I will post it- good or bad.

UPDATE- I started to try and summarize and rank all of the nursing homes in the Guilford County and Greensboro areas. If you would like to see a ranking of best to worst of all homes, click on Guilford County Greensboro area nursing home review.