Episcopal Church Home - Rochester Nursing Home
General Information
UPDATEFederal Provider Number
335263
Provider Name
EPISCOPAL CHURCH HOME
Provider Address
505 MT HOPE AVENUE
ROCHESTER, NY 14620
ROCHESTER, NY 14620
Provider Phone Number
(585) 546-8400
Provider SSA County
370
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
182
Number of Residents in Certified Beds
155
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE CHURCH HOME OF THE PROTESTANT EPISCOPAL CHURCH IN THE CITY OF ROCH
Date First Approved to Provide Medicare and Medicaid services
1968-09-01
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
2
Health Inspection Rating Footnote
QM Rating
5
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
2.80742
Reported LPN Staffing Hours per Resident per Day
1.33806
Reported RN Staffing Hours per Resident per Day
0.60290
Reported Licensed Staffing Hours per Resident per Day
1.94097
Reported Total Nurse Staffing Hours per Resident per Day
4.74838
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23645
Expected CNA Staffing Hours per Resident per Day
2.50017
Expected LPN Staffing Hours per Resident per Day
0.64440
Expected RN Staffing Hours per Resident per Day
1.07179
Expected Total Nurse Staffing Hours per Resident per Day
4.21636
Adjusted CNA Staffing Hours per Resident per Day
2.75524
Adjusted LPN Staffing Hours per Resident per Day
1.72345
Adjusted RN Staffing Hours per Resident per Day
0.42031
Adjusted Total Nurse Staffing Hours per Resident per Day
4.53952
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
1
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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