New York Nursing Homes >> Plattsburgh Nursing Homes >> Champlain Valley Physicians Hospital S N F

Champlain Valley Physicians Hospital S N F - Plattsburgh Nursing Home

General Information

UPDATE
Federal Provider Number
335442
Provider Name
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL S N F
Provider Address
75 BEEKMAN STREET
PLATTSBURGH, NY 12901
Provider Phone Number
(518) 562-7760
Provider SSA County
90
Provider County Name
Clinton
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CHAMPLAIN VALLEY PHYSICIANS
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
Both
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
1
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
2.45372
Reported LPN Staffing Hours per Resident per Day
0.71968
Reported RN Staffing Hours per Resident per Day
0.87766
Reported Licensed Staffing Hours per Resident per Day
1.59734
Reported Total Nurse Staffing Hours per Resident per Day
4.05106
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31915
Expected CNA Staffing Hours per Resident per Day
2.47852
Expected LPN Staffing Hours per Resident per Day
0.64281
Expected RN Staffing Hours per Resident per Day
0.91928
Expected Total Nurse Staffing Hours per Resident per Day
4.04061
Adjusted CNA Staffing Hours per Resident per Day
2.42915
Adjusted LPN Staffing Hours per Resident per Day
0.92925
Adjusted RN Staffing Hours per Resident per Day
0.71337
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04133
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
2
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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