Blossom North Nursing And Rehabilitation Center - Rochester Nursing Home
General Information
UPDATEFederal Provider Number
335439
Provider Name
BLOSSOM NORTH NURSING AND REHABILITATION CENTER
Provider Address
1335 PORTLAND AVE
ROCHESTER, NY 14621
ROCHESTER, NY 14621
Provider Phone Number
(585) 544-4000
Provider SSA County
370
Provider County Name
Monroe
Provider Website
Provider Description
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
BLOSSOM NORTH, LLC
Date First Approved to Provide Medicare and Medicaid services
1975-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72946
Reported LPN Staffing Hours per Resident per Day
0.68214
Reported RN Staffing Hours per Resident per Day
0.32545
Reported Licensed Staffing Hours per Resident per Day
1.00759
Reported Total Nurse Staffing Hours per Resident per Day
3.73705
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05089
Expected CNA Staffing Hours per Resident per Day
2.25537
Expected LPN Staffing Hours per Resident per Day
0.57666
Expected RN Staffing Hours per Resident per Day
0.98766
Expected Total Nurse Staffing Hours per Resident per Day
3.81970
Adjusted CNA Staffing Hours per Resident per Day
2.96948
Adjusted LPN Staffing Hours per Resident per Day
0.98181
Adjusted RN Staffing Hours per Resident per Day
0.24621
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94368
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
19
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
136
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
136
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-09-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
29
Cycle 3 Number of Standard Health Deficiencies
24
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
200
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
200
Total Weighted Health Survey Score
126.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
20
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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