Elderwood At Grand Island - Grand Island Nursing Home
General Information
UPDATEFederal Provider Number
335391
Provider Name
ELDERWOOD AT GRAND ISLAND
Provider Address
2850 GRAND ISLAND BLVD
GRAND ISLAND, NY 14072
GRAND ISLAND, NY 14072
Provider Phone Number
7167735900
Provider SSA County
240
Provider County Name
Erie
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
2850 GRAND ISLAND BOULEVARD OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1973-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40476
Reported LPN Staffing Hours per Resident per Day
0.92857
Reported RN Staffing Hours per Resident per Day
0.52738
Reported Licensed Staffing Hours per Resident per Day
1.45595
Reported Total Nurse Staffing Hours per Resident per Day
3.86071
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04643
Expected CNA Staffing Hours per Resident per Day
2.72152
Expected LPN Staffing Hours per Resident per Day
0.72589
Expected RN Staffing Hours per Resident per Day
1.15144
Expected Total Nurse Staffing Hours per Resident per Day
4.59885
Adjusted CNA Staffing Hours per Resident per Day
2.16811
Adjusted LPN Staffing Hours per Resident per Day
1.06175
Adjusted RN Staffing Hours per Resident per Day
0.34223
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38392
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-07-28
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-05-07
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-07-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
1
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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