Father Baker Manor - Orchard Park Nursing Home

General Information

UPDATE
Federal Provider Number
335777
Provider Name
FATHER BAKER MANOR
Provider Address
6400 POWERS ROAD
ORCHARD PARK, NY 14127
Provider Phone Number
7166670001
Provider SSA County
240
Provider County Name
Erie
Ownership Type
Non profit - Church related
Number of Certified Beds
160
Number of Residents in Certified Beds
152
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WNY CATHOLIC LONG TERM CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1994-06-02
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.33586
Reported LPN Staffing Hours per Resident per Day
0.83257
Reported RN Staffing Hours per Resident per Day
1.03026
Reported Licensed Staffing Hours per Resident per Day
1.86283
Reported Total Nurse Staffing Hours per Resident per Day
4.19869
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23750
Expected CNA Staffing Hours per Resident per Day
2.54448
Expected LPN Staffing Hours per Resident per Day
0.66810
Expected RN Staffing Hours per Resident per Day
1.07841
Expected Total Nurse Staffing Hours per Resident per Day
4.29100
Adjusted CNA Staffing Hours per Resident per Day
2.25252
Adjusted LPN Staffing Hours per Resident per Day
1.03432
Adjusted RN Staffing Hours per Resident per Day
0.71384
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94419
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-05-05
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
1
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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