Blossom View Nursing Home - Sodus Nursing Home
General Information
UPDATEFederal Provider Number
335378
Provider Name
BLOSSOM VIEW NURSING HOME
Provider Address
6884 MAPLE AVE
SODUS, NY 14551
SODUS, NY 14551
Provider Phone Number
(315) 483-9118
Provider SSA County
770
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BLOSSOM VIEW NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1973-01-08
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.55487
Reported LPN Staffing Hours per Resident per Day
1.33451
Reported RN Staffing Hours per Resident per Day
0.82345
Reported Licensed Staffing Hours per Resident per Day
2.15796
Reported Total Nurse Staffing Hours per Resident per Day
4.71283
Reported Physical Therapist Staffing Hours per Resident Per Day
0.29071
Expected CNA Staffing Hours per Resident per Day
2.76373
Expected LPN Staffing Hours per Resident per Day
0.68542
Expected RN Staffing Hours per Resident per Day
1.06709
Expected Total Nurse Staffing Hours per Resident per Day
4.51624
Adjusted CNA Staffing Hours per Resident per Day
2.26827
Adjusted LPN Staffing Hours per Resident per Day
1.61600
Adjusted RN Staffing Hours per Resident per Day
0.57660
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20636
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
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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