Elderwood At Hamburg - Hamburg Nursing Home
General Information
UPDATEFederal Provider Number
335679
Provider Name
ELDERWOOD AT HAMBURG
Provider Address
5775 MAELOU DRIVE
HAMBURG, NY 14075
HAMBURG, NY 14075
Provider Phone Number
(716) 648-2820
Provider SSA County
240
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
166
Number of Residents in Certified Beds
156
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
5775 MAELOU DRIVE OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1985-01-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.85064
Reported LPN Staffing Hours per Resident per Day
0.86987
Reported RN Staffing Hours per Resident per Day
1.43782
Reported Licensed Staffing Hours per Resident per Day
2.30769
Reported Total Nurse Staffing Hours per Resident per Day
4.15833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14327
Expected CNA Staffing Hours per Resident per Day
2.55648
Expected LPN Staffing Hours per Resident per Day
0.68958
Expected RN Staffing Hours per Resident per Day
1.18241
Expected Total Nurse Staffing Hours per Resident per Day
4.42846
Adjusted CNA Staffing Hours per Resident per Day
1.77624
Adjusted LPN Staffing Hours per Resident per Day
1.04701
Adjusted RN Staffing Hours per Resident per Day
0.90860
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78502
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2012-09-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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