Achieve Rehab And Nursing Facility - Liberty Nursing Home
General Information
UPDATEFederal Provider Number
335449
Provider Name
ACHIEVE REHAB AND NURSING FACILITY
Provider Address
170 LAKE STREET
LIBERTY, NY 12754
LIBERTY, NY 12754
Provider Phone Number
(845) 292-4200
Provider SSA County
710
Provider County Name
Sullivan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
140
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WMOP LLC
Date First Approved to Provide Medicare and Medicaid services
1975-06-05
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
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
2.28036
Reported LPN Staffing Hours per Resident per Day
1.08500
Reported RN Staffing Hours per Resident per Day
0.51964
Reported Licensed Staffing Hours per Resident per Day
1.60464
Reported Total Nurse Staffing Hours per Resident per Day
3.88500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18821
Expected CNA Staffing Hours per Resident per Day
2.56907
Expected LPN Staffing Hours per Resident per Day
0.69690
Expected RN Staffing Hours per Resident per Day
1.37253
Expected Total Nurse Staffing Hours per Resident per Day
4.63850
Adjusted CNA Staffing Hours per Resident per Day
2.17795
Adjusted LPN Staffing Hours per Resident per Day
1.29222
Adjusted RN Staffing Hours per Resident per Day
0.28289
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37610
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-04
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
4.00000
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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