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GOLDEN AGE NURSING HOME DISTRICT
NPI 1043208796
Skilled Nursing Facility in Braymer, MO

Active since October 06, 2005CLIA 26D0445177 · Waiver
4/5
Overall Rating
12498 SE HIGHWAY 116, BRAYMER, MO 64624(660) 645-2243(660) 645-2719 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Golden Age Nursing Home District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN AGE NURSING HOME DISTRICT (NPI 1043208796) is a healthcare organization registered as a skilled nursing facility in Braymer, Missouri and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Tammy J Murdock, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043208796
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGOLDEN AGE NURSING HOME DISTRICT
Location Address12498 SE HIGHWAY 116Braymer, MO 64624-9107
Mailing Address12498 Se Highway 116Braymer, MO 64624-9107 · (660) 645-2243 · Fax (660) 645-2719
Phone(660) 645-2243
Fax(660) 645-2719
Organization SubpartNo
Authorized OfficialTammy J MurdockAdministrator · (660) 645-2243
Enumeration DateOctober 6, 2005
Last NPPES UpdateNovember 21, 2011
✔ NPI 1043208796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in MO · 038984
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
12498 SE HIGHWAY 116, Braymer, MO 64624
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified265718MO
Medicaid101487106MO

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0445177

Golden Age Nursing Home · Braymer, MO
Active · expires Aug 31, 2026
CLIA Number26D0445177
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLacey Cox
Laboratory Phone(660) 645-2243
Laboratory LocationGolden Age Nursing Home12498 SE Hwy 116, Braymer, MO 64624
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Golden Age Nursing Home (CMS certification number 265718), from CMS Care Compare.

Golden Age Nursing Home

Nursing home · Braymer, MO
4/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number265718
Certified Beds83 beds42 residents per day on average
Medicare & Medicaid Participant SinceMay 23, 2001
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
28
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.13 · LPN 0.28 · RN 0.53
2.94 hrs per resident per day
Weekend Nurse Staffing
2.49 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
29%
Registered Nurse Turnover
20%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
1 totaling $13,000.00
Medicare Payment Denials
1
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HILLARY MARIE SIMPSON DPT
Physical Therapist
12498 SE HIGHWAY 116
BRAYMER, MO 64624
Caldwell County (864) 244-3626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Golden Age Nursing Home District's NPI number?

The NPI number for Golden Age Nursing Home District is 1043208796. It was assigned to this organization in the NPPES registry on October 6, 2005.

Where is Golden Age Nursing Home District located?

Golden Age Nursing Home District is located at 12498 SE Highway 116, Braymer, MO 64624. The listed phone number is (660) 645-2243.

What is Golden Age Nursing Home District's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Golden Age Nursing Home District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0445177) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Golden Age Nursing Home District a Medicare-certified nursing home?

Yes. Golden Age Nursing Home is a Medicare-certified nursing home with 83 certified beds.

What quality rating does Golden Age Nursing Home District have?

CMS rates Golden Age Nursing Home 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Golden Age Nursing Home District was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.