Elderwood At Liverpool - Liverpool Nursing Home
General Information
UPDATEFederal Provider Number
335678
Provider Name
ELDERWOOD AT LIVERPOOL
Provider Address
4800 BEAR ROAD
LIVERPOOL, NY 13088
LIVERPOOL, NY 13088
Provider Phone Number
3154579946
Provider SSA County
520
Provider County Name
Onondaga
Ownership Type
For profit - Partnership
Number of Certified Beds
160
Number of Residents in Certified Beds
148
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
4800 BEAR ROAD OPERATING COMPANY, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-12-31
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
4
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
2.27804
Reported LPN Staffing Hours per Resident per Day
1.02264
Reported RN Staffing Hours per Resident per Day
0.62297
Reported Licensed Staffing Hours per Resident per Day
1.64561
Reported Total Nurse Staffing Hours per Resident per Day
3.92365
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15068
Expected CNA Staffing Hours per Resident per Day
2.61454
Expected LPN Staffing Hours per Resident per Day
0.67589
Expected RN Staffing Hours per Resident per Day
1.20101
Expected Total Nurse Staffing Hours per Resident per Day
4.49144
Adjusted CNA Staffing Hours per Resident per Day
2.13790
Adjusted LPN Staffing Hours per Resident per Day
1.25582
Adjusted RN Staffing Hours per Resident per Day
0.38758
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52133
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-03-27
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
2012-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
6.00000
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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