Fort Hudson Nursing Center Inc - Fort Edward Nursing Home
General Information
UPDATEFederal Provider Number
335300
Provider Name
FORT HUDSON NURSING CENTER INC
Provider Address
319 UPPER BROADWAY
FORT EDWARD, NY 12828
FORT EDWARD, NY 12828
Provider Phone Number
(518) 747-2811
Provider SSA County
760
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
198
Number of Residents in Certified Beds
191
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FORT HUDSON NURSING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1970-01-12
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.42068
Reported LPN Staffing Hours per Resident per Day
0.94660
Reported RN Staffing Hours per Resident per Day
0.44058
Reported Licensed Staffing Hours per Resident per Day
1.38717
Reported Total Nurse Staffing Hours per Resident per Day
3.80786
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05602
Expected CNA Staffing Hours per Resident per Day
2.36199
Expected LPN Staffing Hours per Resident per Day
0.59239
Expected RN Staffing Hours per Resident per Day
0.98645
Expected Total Nurse Staffing Hours per Resident per Day
3.94082
Adjusted CNA Staffing Hours per Resident per Day
2.51467
Adjusted LPN Staffing Hours per Resident per Day
1.32630
Adjusted RN Staffing Hours per Resident per Day
0.33372
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89490
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-03-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
4
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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