Canterbury Woods - Williamsville Nursing Home
General Information
UPDATEFederal Provider Number
335816
Provider Name
CANTERBURY WOODS
Provider Address
725 RENAISSANCE DRIVE
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
Provider Phone Number
(716) 929-5800
Provider SSA County
240
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
48
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EPISCOPAL CHURCH HOME & AFFILIATES LIFE CARE COMMUNITY, INC
Date First Approved to Provide Medicare and Medicaid services
1999-08-02
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
2
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
2.46170
Reported LPN Staffing Hours per Resident per Day
0.83723
Reported RN Staffing Hours per Resident per Day
1.00957
Reported Licensed Staffing Hours per Resident per Day
1.84681
Reported Total Nurse Staffing Hours per Resident per Day
4.30850
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11596
Expected CNA Staffing Hours per Resident per Day
2.61272
Expected LPN Staffing Hours per Resident per Day
0.63727
Expected RN Staffing Hours per Resident per Day
0.90245
Expected Total Nurse Staffing Hours per Resident per Day
4.15245
Adjusted CNA Staffing Hours per Resident per Day
2.31187
Adjusted LPN Staffing Hours per Resident per Day
1.09043
Adjusted RN Staffing Hours per Resident per Day
0.83589
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18239
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-05
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
20
Cycle 2 Standard Health Survey Date
2013-06-20
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
6.66700
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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