Bethlehem Commons Care Center - Delmar Nursing Home

General Information

UPDATE
Federal Provider Number
335735
Provider Name
BETHLEHEM COMMONS CARE CENTER
Provider Address
125 ROCKEFELLER ROAD
DELMAR, NY 12054
Provider Phone Number
(518) 439-8116
Provider SSA County
0
Provider County Name
Albany
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1991-12-18
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
0
QM Rating Footnote
Data Not Available
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
2.06272
Reported LPN Staffing Hours per Resident per Day
1.07632
Reported RN Staffing Hours per Resident per Day
0.35702
Reported Licensed Staffing Hours per Resident per Day
1.43333
Reported Total Nurse Staffing Hours per Resident per Day
3.49606
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04123
Expected CNA Staffing Hours per Resident per Day
2.53926
Expected LPN Staffing Hours per Resident per Day
0.54904
Expected RN Staffing Hours per Resident per Day
0.84783
Expected Total Nurse Staffing Hours per Resident per Day
3.93614
Adjusted CNA Staffing Hours per Resident per Day
1.99321
Adjusted LPN Staffing Hours per Resident per Day
1.62709
Adjusted RN Staffing Hours per Resident per Day
0.31465
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58023
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-12-12
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
17
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
417
Cycle 2 Standard Health Survey Date
2014-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
417
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-04-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
160.33300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
8
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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