GOLDEN LIVINGCENTER - MEDICAL ARTS
The information listed below provides an in-depth look into the type and quality of care offered at Golden Livingcenter - Medical Arts. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
GOLDEN LIVINGCENTER - MEDICAL ARTS
213 SCENIC HWY
LAWRENCEVILLE, GA 30045
(770) 963-5275
213 SCENIC HWY
LAWRENCEVILLE, GA 30045
(770) 963-5275
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
94%Number of Residents and Certified Beds
- Residents: 117
- Certified Beds: 124
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Partnership
- Offers Both Resident and Family Counseling Services
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Golden Livingcenter - Medical Arts. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation Plus Extensive Services
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-10 | 0.8% |
| Total Percent: | 0.8% |
Medium Rehabilitation Plus Extensive Services
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 0.2% |
| Total Percent: | 0.2% |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 20.6% |
| ADL Index Range: 6-10 | 18.0% |
| ADL Index Range: 0-5 | 38.7% |
| Total Percent: | 77.3% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 0.9% |
| ADL Index Range: 6-10 | 4.8% |
| ADL Index Range: 0-5 | 2.9% |
| Total Percent: | 8.7% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 0-5 | 5.3% |
| Total Percent: | 5.3% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 0.3% |
| ADL Index Range: 6-10 | 4.6% |
| ADL Index Range: 0-5 | 0.3% |
| Total Percent: | 5.2% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-14 - No Signs of depression | 1.4% |
| Total Percent: | 1.4% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 6-10 - No Signs of depression | 0.2% |
| Total Percent: | 0.2% |
Behavioral Symptoms and Cognitive Performance
- Cognitive impairment BIMS score less than or equal to 9
- CPS great than or equal to 3
- Hallucinations or delusions
- Physical or verbal behavioral symptoms toward others
- Other behavioral symptoms
- Rejection of care or wandering
- Activities of Daily Living (ADL) score of 5 or less
| ADL Index Range: 2-5 - Less restorative nursing | 0.8% |
| Total Percent: | 0.8% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 6-10 - Less restorative nursing | 0.1% |
| ADL Index Range: 2-5 - Less restorative nursing | 0.06% |
| Total Percent: | 0.2% |
Rating Details For Golden Livingcenter - Medical Arts
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 32 Minutes | 1 Hour and 26 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 56 Minutes | 46 Minutes |
| Certified Nursing Assistant (CNA) Hours | 1 Hour and 59 Minutes | 2 Hours and 35 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 28 Minutes | 2 Hours and 12 Minutes |
| Total Nurse Hours | 3 Hours and 27 Minutes | 4 Hours and 46 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Georgia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Georgia Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 88% | 94% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 94% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | - | 4% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 14% | 10% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 15% | 11% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 83% | 51% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 16% | 13% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 19% | 15% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 3% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 15% | 10% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 8% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 2% | 4% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 8% | 8% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 2% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 54% | 88% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 59% | 88% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 21% | 12% |
| Percent of Short-Stay Residents Who Have Delirium | - | 4% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 9% | 16% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/05/2010.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
|  |  |
Give or Get Lab Tests by a Certified Laboratory.
| | |
Environmental
Keep Safe, Clean and Homelike Surroundings.
|  |  |
Provide Needed Housekeeping and Maintenance.
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Have a Program to Keep Infection from Spreading.
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Put Firmly Secured Handrails on Each Side of Hallways.
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Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Mistreatment
1) Hire Only People Who Have 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.
| | |
Nutrition and Dietary
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
| | |
Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
| | |
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
| | |
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
| | |
Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| | |
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
| | |
Give Professional Services That Meet a Professional Standard of Quality.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| | |
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
| | |
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
| | |
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
Resident Assessment
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Resident Rights
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
|  | |
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
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Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
| Action Taken | Date | Amount |
| Civil Money Penalty (CMP) | 10/23/2008 | $390 |
| Civil Money Penalty (CMP) | 10/23/2008 | $64,740 |
| Denial of Payment for New Admission (DPNA) | 10/23/2008 | - |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Golden Livingcenter - Medical Arts, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Administration
Quickly Tell the Resident's Doctor the Results of Lab Tests.
|  | |
Keep Accurate and Appropriate Medical Records.
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Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Resident Assessment
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
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Source: Medicare Nursing Home Compare; Department of Human Resources of Georgia - Office of Regulatory Services - Retrieved 2011
