Wyoming County Community Hospital S N F - Warsaw Nursing Home

General Information

UPDATE
Federal Provider Number
335034
Provider Name
WYOMING COUNTY COMMUNITY HOSPITAL S N F
Provider Address
400 NORTH MAIN STREET
WARSAW, NY 14569
Provider Phone Number
(585) 786-2233
Provider SSA County
900
Provider County Name
Wyoming
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
138
Number of Residents in Certified Beds
130
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
WYOMING COUNTY
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.02731
Reported LPN Staffing Hours per Resident per Day
1.34615
Reported RN Staffing Hours per Resident per Day
0.44654
Reported Licensed Staffing Hours per Resident per Day
1.79269
Reported Total Nurse Staffing Hours per Resident per Day
3.82000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05269
Expected CNA Staffing Hours per Resident per Day
2.53804
Expected LPN Staffing Hours per Resident per Day
0.67666
Expected RN Staffing Hours per Resident per Day
1.04800
Expected Total Nurse Staffing Hours per Resident per Day
4.26269
Adjusted CNA Staffing Hours per Resident per Day
1.95995
Adjusted LPN Staffing Hours per Resident per Day
1.65122
Adjusted RN Staffing Hours per Resident per Day
0.31837
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61228
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
2014-03-11
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
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-02-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
28.66700
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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