Emerald North Nursing And Rehabilitation Center - Buffalo Nursing Home
General Information
UPDATEFederal Provider Number
335640
Provider Name
EMERALD NORTH NURSING AND REHABILITATION CENTER
Provider Address
1205 DELAWARE AVENUE
BUFFALO, NY 14209
BUFFALO, NY 14209
Provider Phone Number
(716) 885-3838
Provider SSA County
240
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RUBY CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1980-04-21
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
Partial
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
1.70833
Reported LPN Staffing Hours per Resident per Day
0.91833
Reported RN Staffing Hours per Resident per Day
0.52667
Reported Licensed Staffing Hours per Resident per Day
1.44500
Reported Total Nurse Staffing Hours per Resident per Day
3.15333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08667
Expected CNA Staffing Hours per Resident per Day
2.31137
Expected LPN Staffing Hours per Resident per Day
0.64088
Expected RN Staffing Hours per Resident per Day
1.05861
Expected Total Nurse Staffing Hours per Resident per Day
4.01086
Adjusted CNA Staffing Hours per Resident per Day
1.81353
Adjusted LPN Staffing Hours per Resident per Day
1.18932
Adjusted RN Staffing Hours per Resident per Day
0.37174
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16909
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-05-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-06-17
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
42
Cycle 2 Total Health Score
126
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
82.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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