New York Nursing Homes >> Cuba Nursing Homes >> Cuba Memorial Hospital Inc S N F

Cuba Memorial Hospital Inc S N F - Cuba Nursing Home

General Information

UPDATE
Federal Provider Number
335364
Provider Name
CUBA MEMORIAL HOSPITAL INC S N F
Provider Address
140 WEST MAIN STREET
CUBA, NY 14727
Provider Phone Number
5859682000
Provider SSA County
10
Provider County Name
Allegany
Ownership Type
Non profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CUBA MEMORIAL HOSPITAL, INC.
Date First Approved to Provide Medicare and Medicaid services
1972-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Partial

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.41228
Reported LPN Staffing Hours per Resident per Day
0.90877
Reported RN Staffing Hours per Resident per Day
0.44474
Reported Licensed Staffing Hours per Resident per Day
1.35351
Reported Total Nurse Staffing Hours per Resident per Day
3.76579
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12544
Expected CNA Staffing Hours per Resident per Day
2.36775
Expected LPN Staffing Hours per Resident per Day
0.57102
Expected RN Staffing Hours per Resident per Day
0.92035
Expected Total Nurse Staffing Hours per Resident per Day
3.85911
Adjusted CNA Staffing Hours per Resident per Day
2.49985
Adjusted LPN Staffing Hours per Resident per Day
1.32094
Adjusted RN Staffing Hours per Resident per Day
0.36107
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93342
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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