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East Side Nursing Home - Warsaw Nursing Home

General Information

UPDATE
Federal Provider Number
335511
Provider Name
EAST SIDE NURSING HOME
Provider Address
62 PROSPECT ST
WARSAW, NY 14569
Provider Phone Number
5857868151
Provider SSA County
900
Provider County Name
Wyoming
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EAST SIDE NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.21214
Reported LPN Staffing Hours per Resident per Day
1.19786
Reported RN Staffing Hours per Resident per Day
0.54143
Reported Licensed Staffing Hours per Resident per Day
1.73929
Reported Total Nurse Staffing Hours per Resident per Day
3.95143
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08929
Expected CNA Staffing Hours per Resident per Day
2.48648
Expected LPN Staffing Hours per Resident per Day
0.60988
Expected RN Staffing Hours per Resident per Day
0.95680
Expected Total Nurse Staffing Hours per Resident per Day
4.05316
Adjusted CNA Staffing Hours per Resident per Day
2.18298
Adjusted LPN Staffing Hours per Resident per Day
1.63020
Adjusted RN Staffing Hours per Resident per Day
0.42282
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92973
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
26.66700
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

Nursiong Homes Nearby

Wyoming County Community Hospital S N F

400 North Main Street | WARSAW NY 14569 | 1.1 miles away

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