Autumn View Health Care Facility L L C - Hamburg Nursing Home
General Information
UPDATEFederal Provider Number
335662
Provider Name
AUTUMN VIEW HEALTH CARE FACILITY L L C
Provider Address
S 4650 SOUTHWESTERN BLVD
HAMBURG, NY 14075
HAMBURG, NY 14075
Provider Phone Number
(716) 648-2450
Provider SSA County
240
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
230
Number of Residents in Certified Beds
218
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN VIEW HEALTH CARE FACILITY LLC
Date First Approved to Provide Medicare and Medicaid services
1983-03-22
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.23532
Reported LPN Staffing Hours per Resident per Day
1.56147
Reported RN Staffing Hours per Resident per Day
0.69289
Reported Licensed Staffing Hours per Resident per Day
2.25436
Reported Total Nurse Staffing Hours per Resident per Day
5.48968
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24128
Expected CNA Staffing Hours per Resident per Day
2.68033
Expected LPN Staffing Hours per Resident per Day
0.71725
Expected RN Staffing Hours per Resident per Day
1.36033
Expected Total Nurse Staffing Hours per Resident per Day
4.75791
Adjusted CNA Staffing Hours per Resident per Day
2.96176
Adjusted LPN Staffing Hours per Resident per Day
1.80694
Adjusted RN Staffing Hours per Resident per Day
0.38059
Adjusted Total Nurse Staffing Hours per Resident per Day
4.65086
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2012-07-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
9.33300
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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