Brothers Of Mercy Nursing & Rehabilitation Center - Clarence Nursing Home
General Information
UPDATEFederal Provider Number
335112
Provider Name
BROTHERS OF MERCY NURSING & REHABILITATION CENTER
Provider Address
10570 BERGTOLD ROAD
CLARENCE, NY 14031
CLARENCE, NY 14031
Provider Phone Number
(716) 759-6985
Provider SSA County
240
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
240
Number of Residents in Certified Beds
219
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROTHERS OF MERCY NURSING HOME COMPANY INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.78858
Reported LPN Staffing Hours per Resident per Day
0.80046
Reported RN Staffing Hours per Resident per Day
1.08539
Reported Licensed Staffing Hours per Resident per Day
1.88584
Reported Total Nurse Staffing Hours per Resident per Day
4.67443
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11963
Expected CNA Staffing Hours per Resident per Day
2.59078
Expected LPN Staffing Hours per Resident per Day
0.65577
Expected RN Staffing Hours per Resident per Day
1.07885
Expected Total Nurse Staffing Hours per Resident per Day
4.32540
Adjusted CNA Staffing Hours per Resident per Day
2.64103
Adjusted LPN Staffing Hours per Resident per Day
1.01313
Adjusted RN Staffing Hours per Resident per Day
0.75173
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35617
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-24
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
19.33300
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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