Chenango Memorial Hospital - Norwich Nursing Home

General Information

UPDATE
Federal Provider Number
335355
Provider Name
CHENANGO MEMORIAL HOSPITAL
Provider Address
179 NORTH BROAD STREET
NORWICH, NY 13815
Provider Phone Number
(607) 337-4111
Provider SSA County
80
Provider County Name
Chenango
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1972-02-21
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.97829
Reported LPN Staffing Hours per Resident per Day
1.27303
Reported RN Staffing Hours per Resident per Day
0.58158
Reported Licensed Staffing Hours per Resident per Day
1.85461
Reported Total Nurse Staffing Hours per Resident per Day
4.83290
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06316
Expected CNA Staffing Hours per Resident per Day
2.42857
Expected LPN Staffing Hours per Resident per Day
0.60488
Expected RN Staffing Hours per Resident per Day
0.84622
Expected Total Nurse Staffing Hours per Resident per Day
3.87968
Adjusted CNA Staffing Hours per Resident per Day
3.00911
Adjusted LPN Staffing Hours per Resident per Day
1.74682
Adjusted RN Staffing Hours per Resident per Day
0.51352
Adjusted Total Nurse Staffing Hours per Resident per Day
5.02128
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-08-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
38.66700
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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