Betsy Ross Rehabilitation Ctr - Rome Nursing Home

General Information

UPDATE
Federal Provider Number
335727
Provider Name
BETSY ROSS REHABILITATION CTR
Provider Address
1 ELSIE STREET
ROME, NY 13440
Provider Phone Number
3153392220
Provider SSA County
510
Provider County Name
Oneida
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1992-01-10
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.10491
Reported LPN Staffing Hours per Resident per Day
0.70045
Reported RN Staffing Hours per Resident per Day
0.50938
Reported Licensed Staffing Hours per Resident per Day
1.20982
Reported Total Nurse Staffing Hours per Resident per Day
3.31474
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10089
Expected CNA Staffing Hours per Resident per Day
2.24634
Expected LPN Staffing Hours per Resident per Day
0.62395
Expected RN Staffing Hours per Resident per Day
1.04859
Expected Total Nurse Staffing Hours per Resident per Day
3.91888
Adjusted CNA Staffing Hours per Resident per Day
2.29922
Adjusted LPN Staffing Hours per Resident per Day
0.93176
Adjusted RN Staffing Hours per Resident per Day
0.36297
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40949
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
68
Cycle 1 Standard Survey Health Date
2014-05-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
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
24
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
44.00000
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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