Evergreen Commons - East Greenbush Nursing Home
General Information
UPDATEFederal Provider Number
335110
Provider Name
EVERGREEN COMMONS
Provider Address
1070 LUTHER ROAD
EAST GREENBUSH, NY 12061
EAST GREENBUSH, NY 12061
Provider Phone Number
(518) 479-4662
Provider SSA County
600
Provider County Name
Rensselaer
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
242
Number of Residents in Certified Beds
229
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RENSSELAER PLANNING LLC
Date First Approved to Provide Medicare and Medicaid services
1972-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.35524
Reported LPN Staffing Hours per Resident per Day
0.96638
Reported RN Staffing Hours per Resident per Day
0.54389
Reported Licensed Staffing Hours per Resident per Day
1.51026
Reported Total Nurse Staffing Hours per Resident per Day
3.86551
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.47362
Expected LPN Staffing Hours per Resident per Day
0.68947
Expected RN Staffing Hours per Resident per Day
1.13139
Expected Total Nurse Staffing Hours per Resident per Day
4.29448
Adjusted CNA Staffing Hours per Resident per Day
2.33627
Adjusted LPN Staffing Hours per Resident per Day
1.16335
Adjusted RN Staffing Hours per Resident per Day
0.35920
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62825
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-05-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-09-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
36
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
36
Total Weighted Health Survey Score
82.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
13
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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