Clinton County Nursing Home - Plattsburgh Nursing Home
General Information
UPDATEFederal Provider Number
335598
Provider Name
CLINTON COUNTY NURSING HOME
Provider Address
16 FLYNN AVENUE
PLATTSBURGH, NY 12901
PLATTSBURGH, NY 12901
Provider Phone Number
(518) 563-0950
Provider SSA County
90
Provider County Name
Clinton
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
80
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLINTON COUNTY
Date First Approved to Provide Medicare and Medicaid services
1977-01-29
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
3
Health Inspection Rating Footnote
QM Rating
1
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
2.20823
Reported LPN Staffing Hours per Resident per Day
1.09430
Reported RN Staffing Hours per Resident per Day
0.64810
Reported Licensed Staffing Hours per Resident per Day
1.74241
Reported Total Nurse Staffing Hours per Resident per Day
3.95063
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01076
Expected CNA Staffing Hours per Resident per Day
2.48659
Expected LPN Staffing Hours per Resident per Day
0.65964
Expected RN Staffing Hours per Resident per Day
0.85191
Expected Total Nurse Staffing Hours per Resident per Day
3.99814
Adjusted CNA Staffing Hours per Resident per Day
2.17903
Adjusted LPN Staffing Hours per Resident per Day
1.37693
Adjusted RN Staffing Hours per Resident per Day
0.56844
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98301
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
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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