Crest Manor Living And Rehabilitation Center - Fairport Nursing Home
General Information
UPDATEFederal Provider Number
335467
Provider Name
CREST MANOR LIVING AND REHABILITATION CENTER
Provider Address
6745 PITTSFORD PALMYRA ROAD
FAIRPORT, NY 14450
FAIRPORT, NY 14450
Provider Phone Number
(585) 223-3633
Provider SSA County
370
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CREST MANOR LIVING & REHAB. CENTER
Date First Approved to Provide Medicare and Medicaid services
1976-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.15533
Reported LPN Staffing Hours per Resident per Day
0.66600
Reported RN Staffing Hours per Resident per Day
0.85333
Reported Licensed Staffing Hours per Resident per Day
1.51933
Reported Total Nurse Staffing Hours per Resident per Day
3.67466
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07800
Expected CNA Staffing Hours per Resident per Day
2.56057
Expected LPN Staffing Hours per Resident per Day
0.62529
Expected RN Staffing Hours per Resident per Day
0.97915
Expected Total Nurse Staffing Hours per Resident per Day
4.16500
Adjusted CNA Staffing Hours per Resident per Day
2.06537
Adjusted LPN Staffing Hours per Resident per Day
0.88404
Adjusted RN Staffing Hours per Resident per Day
0.65119
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55634
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-25
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-17
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
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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