Fiddlers Green Manor Rehabilitation & Nursing Ctr - Springville Nursing Home
General Information
UPDATEFederal Provider Number
335457
Provider Name
FIDDLERS GREEN MANOR REHABILITATION & NURSING CTR
Provider Address
168 WEST MAIN STREET
SPRINGVILLE, NY 14141
SPRINGVILLE, NY 14141
Provider Phone Number
(716) 592-4781
Provider SSA County
240
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JSSG HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1976-01-01
Continuing Care Retirement Community
Y
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
1
Overall Rating Footnote
Health Inspection Rating
2
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
1.89808
Reported LPN Staffing Hours per Resident per Day
0.96410
Reported RN Staffing Hours per Resident per Day
0.59615
Reported Licensed Staffing Hours per Resident per Day
1.56026
Reported Total Nurse Staffing Hours per Resident per Day
3.45833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07308
Expected CNA Staffing Hours per Resident per Day
2.57837
Expected LPN Staffing Hours per Resident per Day
0.74927
Expected RN Staffing Hours per Resident per Day
1.33074
Expected Total Nurse Staffing Hours per Resident per Day
4.65839
Adjusted CNA Staffing Hours per Resident per Day
1.80630
Adjusted LPN Staffing Hours per Resident per Day
1.06797
Adjusted RN Staffing Hours per Resident per Day
0.33473
Adjusted Total Nurse Staffing Hours per Resident per Day
2.99249
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-04-14
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-05-23
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
0
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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