Folts Home - Herkimer Nursing Home
General Information
UPDATEFederal Provider Number
335510
Provider Name
FOLTS HOME
Provider Address
104 NORTH WASHINGTON STREET
HERKIMER, NY 13350
HERKIMER, NY 13350
Provider Phone Number
3158666964
Provider SSA County
320
Provider County Name
Herkimer
Ownership Type
For profit - Corporation
Number of Certified Beds
163
Number of Residents in Certified Beds
162
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRNC LLC
Date First Approved to Provide Medicare and Medicaid services
1976-03-01
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
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.02284
Reported LPN Staffing Hours per Resident per Day
0.87438
Reported RN Staffing Hours per Resident per Day
0.49074
Reported Licensed Staffing Hours per Resident per Day
1.36512
Reported Total Nurse Staffing Hours per Resident per Day
3.38796
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06914
Expected CNA Staffing Hours per Resident per Day
2.36771
Expected LPN Staffing Hours per Resident per Day
0.69058
Expected RN Staffing Hours per Resident per Day
1.02434
Expected Total Nurse Staffing Hours per Resident per Day
4.08263
Adjusted CNA Staffing Hours per Resident per Day
2.09631
Adjusted LPN Staffing Hours per Resident per Day
1.05091
Adjusted RN Staffing Hours per Resident per Day
0.35797
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34503
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-10-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
136
Cycle 2 Standard Health Survey Date
2013-12-20
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
88.00000
Number of Facility Reported Incidents
0
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
Nursiong Homes Nearby
Valley Health Services Inc
690 West German Street |
HERKIMER NY 13350 | 0.8 mile away
Mohawk Valley Health Care Center
99 Sixth Avenue |
ILION NY 13357 | 3.2 miles away
Alpine Rehabilitation And Nursing Center
755 E Monroe Street |
LITTLE FALLS NY 13365 | 7 miles away
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