Elderwood At North Creek - North Creek Nursing Home

General Information

UPDATE
Federal Provider Number
335429
Provider Name
Elderwood at North Creek
Provider Address
112 SKI BOWL ROAD
NORTH CREEK, NY 12853
Provider Phone Number
(518) 251-2447
Provider SSA County
750
Provider County Name
Warren
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Date First Approved to Provide Medicare and Medicaid services
1974-10-02
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.03867
Reported LPN Staffing Hours per Resident per Day
1.41600
Reported RN Staffing Hours per Resident per Day
0.59267
Reported Licensed Staffing Hours per Resident per Day
2.00867
Reported Total Nurse Staffing Hours per Resident per Day
4.04734
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11800
Expected CNA Staffing Hours per Resident per Day
2.33932
Expected LPN Staffing Hours per Resident per Day
0.59659
Expected RN Staffing Hours per Resident per Day
0.94338
Expected Total Nurse Staffing Hours per Resident per Day
3.87929
Adjusted CNA Staffing Hours per Resident per Day
2.13835
Adjusted LPN Staffing Hours per Resident per Day
1.96999
Adjusted RN Staffing Hours per Resident per Day
0.46942
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20552
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
22
Cycle 1 Total Health Score
66
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
45.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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