Clifton Springs Hospital & Clinic Extended Care - Clifton Springs Nursing Home

General Information

UPDATE
Federal Provider Number
335361
Provider Name
CLIFTON SPRINGS HOSPITAL & CLINIC EXTENDED CARE
Provider Address
2 COULTER ROAD
CLIFTON SPRINGS, NY 14432
Provider Phone Number
(315) 462-0557
Provider SSA County
530
Provider County Name
Ontario
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CLIFTON SPRINGS SANITARIUM COMPANY
Date First Approved to Provide Medicare and Medicaid services
1972-01-10
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
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
2.29087
Reported LPN Staffing Hours per Resident per Day
1.20240
Reported RN Staffing Hours per Resident per Day
0.85288
Reported Licensed Staffing Hours per Resident per Day
2.05529
Reported Total Nurse Staffing Hours per Resident per Day
4.34615
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11154
Expected CNA Staffing Hours per Resident per Day
2.63271
Expected LPN Staffing Hours per Resident per Day
0.72514
Expected RN Staffing Hours per Resident per Day
1.03578
Expected Total Nurse Staffing Hours per Resident per Day
4.39363
Adjusted CNA Staffing Hours per Resident per Day
2.13510
Adjusted LPN Staffing Hours per Resident per Day
1.37628
Adjusted RN Staffing Hours per Resident per Day
0.61526
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98734
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-08-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
17.33300
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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