Elderwood At Williamsville - Williamsville Nursing Home

General Information

UPDATE
Federal Provider Number
335326
Provider Name
ELDERWOOD AT WILLIAMSVILLE
Provider Address
200 BASSETT ROAD
WILLIAMSVILLE, NY 14221
Provider Phone Number
(716) 689-6681
Provider SSA County
240
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
183
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
200 BASSETT ROAD OPERATING COMPANY, LLC
Date First Approved to Provide Medicare and Medicaid services
1971-05-09
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
4
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
2.34016
Reported LPN Staffing Hours per Resident per Day
0.91284
Reported RN Staffing Hours per Resident per Day
0.82268
Reported Licensed Staffing Hours per Resident per Day
1.73552
Reported Total Nurse Staffing Hours per Resident per Day
4.07568
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14208
Expected CNA Staffing Hours per Resident per Day
2.75988
Expected LPN Staffing Hours per Resident per Day
0.76578
Expected RN Staffing Hours per Resident per Day
1.21531
Expected Total Nurse Staffing Hours per Resident per Day
4.74098
Adjusted CNA Staffing Hours per Resident per Day
2.08054
Adjusted LPN Staffing Hours per Resident per Day
0.98939
Adjusted RN Staffing Hours per Resident per Day
0.50580
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46525
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-03-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2012-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
10.66700
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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