Chittenango Center For Rehab Health Care - Chittenango Nursing Home

General Information

UPDATE
Federal Provider Number
335588
Provider Name
CHITTENANGO CENTER FOR REHAB HEALTH CARE
Provider Address
331 RUSSELL STREET
CHITTENANGO, NY 13037
Provider Phone Number
(315) 510-6400
Provider SSA County
360
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1977-03-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72500
Reported LPN Staffing Hours per Resident per Day
1.67308
Reported RN Staffing Hours per Resident per Day
0.56282
Reported Licensed Staffing Hours per Resident per Day
2.23590
Reported Total Nurse Staffing Hours per Resident per Day
4.96090
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08141
Expected CNA Staffing Hours per Resident per Day
2.58186
Expected LPN Staffing Hours per Resident per Day
0.72498
Expected RN Staffing Hours per Resident per Day
1.31265
Expected Total Nurse Staffing Hours per Resident per Day
4.61948
Adjusted CNA Staffing Hours per Resident per Day
2.58974
Adjusted LPN Staffing Hours per Resident per Day
1.91545
Adjusted RN Staffing Hours per Resident per Day
0.32038
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32882
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2013-10-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
3250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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