Avon Nursing Home - Avon Nursing Home

General Information

UPDATE
Federal Provider Number
335216
Provider Name
AVON NURSING HOME
Provider Address
215 CLINTON STREET
AVON, NY 14414
Provider Phone Number
(585) 226-2225
Provider SSA County
350
Provider County Name
Livingston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVON NURSING HOME, LLC
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.22750
Reported LPN Staffing Hours per Resident per Day
0.73375
Reported RN Staffing Hours per Resident per Day
0.57000
Reported Licensed Staffing Hours per Resident per Day
1.30375
Reported Total Nurse Staffing Hours per Resident per Day
3.53125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15250
Expected CNA Staffing Hours per Resident per Day
2.45367
Expected LPN Staffing Hours per Resident per Day
0.62006
Expected RN Staffing Hours per Resident per Day
0.97768
Expected Total Nurse Staffing Hours per Resident per Day
4.05142
Adjusted CNA Staffing Hours per Resident per Day
2.22752
Adjusted LPN Staffing Hours per Resident per Day
0.98218
Adjusted RN Staffing Hours per Resident per Day
0.43563
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51336
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
199
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
199
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-01-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
79.00000
Number of Facility Reported Incidents
1
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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