Elderwood At Cheektowaga - Cheektowaga Nursing Home
General Information
UPDATEFederal Provider Number
335752
Provider Name
ELDERWOOD AT CHEEKTOWAGA
Provider Address
225 BENNETT ROAD
CHEEKTOWAGA, NY 14227
CHEEKTOWAGA, NY 14227
Provider Phone Number
(716) 681-9480
Provider SSA County
240
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
172
Number of Residents in Certified Beds
159
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
225 BENNETT ROAD OPERATING COMPANY, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-06-17
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
2
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
2.24057
Reported LPN Staffing Hours per Resident per Day
1.02327
Reported RN Staffing Hours per Resident per Day
0.72579
Reported Licensed Staffing Hours per Resident per Day
1.74906
Reported Total Nurse Staffing Hours per Resident per Day
3.98963
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11447
Expected CNA Staffing Hours per Resident per Day
2.60635
Expected LPN Staffing Hours per Resident per Day
0.69461
Expected RN Staffing Hours per Resident per Day
1.17804
Expected Total Nurse Staffing Hours per Resident per Day
4.47899
Adjusted CNA Staffing Hours per Resident per Day
2.10934
Adjusted LPN Staffing Hours per Resident per Day
1.22273
Adjusted RN Staffing Hours per Resident per Day
0.46035
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59050
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-06-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
44
Cycle 2 Standard Health Survey Date
2013-04-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-05-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
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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