Heritage Green Nursing Home - Greenhurst Nursing Home
General Information
UPDATEFederal Provider Number
335721
Provider Name
HERITAGE GREEN NURSING HOME
Provider Address
3023 ROUTE 430 PO BOX 400
GREENHURST, NY 14742
GREENHURST, NY 14742
Provider Phone Number
7164835000
Provider SSA County
60
Provider County Name
Chautauqua
Ownership Type
Non profit - Church related
Number of Certified Beds
134
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE GERRY HOMES
Date First Approved to Provide Medicare and Medicaid services
1992-05-14
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
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.84618
Reported LPN Staffing Hours per Resident per Day
0.78931
Reported RN Staffing Hours per Resident per Day
0.62863
Reported Licensed Staffing Hours per Resident per Day
1.41794
Reported Total Nurse Staffing Hours per Resident per Day
3.26412
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06756
Expected CNA Staffing Hours per Resident per Day
2.70823
Expected LPN Staffing Hours per Resident per Day
0.65558
Expected RN Staffing Hours per Resident per Day
0.99186
Expected Total Nurse Staffing Hours per Resident per Day
4.35567
Adjusted CNA Staffing Hours per Resident per Day
1.67267
Adjusted LPN Staffing Hours per Resident per Day
0.99931
Adjusted RN Staffing Hours per Resident per Day
0.47357
Adjusted Total Nurse Staffing Hours per Resident per Day
3.02074
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-04-19
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-02-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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