Bethany Gardens Skilled Living Center - Rome Nursing Home
General Information
UPDATEFederal Provider Number
335732
Provider Name
BETHANY GARDENS SKILLED LIVING CENTER
Provider Address
800 WEST CHESTNUT STREET
ROME, NY 13440
ROME, NY 13440
Provider Phone Number
(315) 339-3210
Provider SSA County
510
Provider County Name
Oneida
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
100
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETHANY GARDENS SKILLED LIVING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-09-12
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
1
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
2.80054
Reported LPN Staffing Hours per Resident per Day
0.90914
Reported RN Staffing Hours per Resident per Day
0.75914
Reported Licensed Staffing Hours per Resident per Day
1.66828
Reported Total Nurse Staffing Hours per Resident per Day
4.46882
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04839
Expected CNA Staffing Hours per Resident per Day
2.54830
Expected LPN Staffing Hours per Resident per Day
0.73329
Expected RN Staffing Hours per Resident per Day
1.25278
Expected Total Nurse Staffing Hours per Resident per Day
4.53438
Adjusted CNA Staffing Hours per Resident per Day
2.69657
Adjusted LPN Staffing Hours per Resident per Day
1.02904
Adjusted RN Staffing Hours per Resident per Day
0.45278
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97262
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
42
Cycle 2 Total Health Score
126
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
44
Cycle 3 Standard Health Survey Date
2013-07-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
75.33300
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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