New York Nursing Homes >> Endwell Nursing Homes >> Good Shepherd Village At Endwell

Good Shepherd Village At Endwell - Endwell Nursing Home

General Information

UPDATE
Federal Provider Number
335859
Provider Name
GOOD SHEPHERD VILLAGE AT ENDWELL
Provider Address
14 VILLAGE DRIVE
ENDWELL, NY 13760
Provider Phone Number
6077573102
Provider SSA County
30
Provider County Name
Broome
Ownership Type
Non profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
32
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SHEPHERD VILLAGE AT ENDWELL
Date First Approved to Provide Medicare and Medicaid services
2010-05-06
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.52656
Reported LPN Staffing Hours per Resident per Day
1.19375
Reported RN Staffing Hours per Resident per Day
0.60156
Reported Licensed Staffing Hours per Resident per Day
1.79531
Reported Total Nurse Staffing Hours per Resident per Day
4.32187
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16250
Expected CNA Staffing Hours per Resident per Day
2.58155
Expected LPN Staffing Hours per Resident per Day
0.66946
Expected RN Staffing Hours per Resident per Day
1.05923
Expected Total Nurse Staffing Hours per Resident per Day
4.31024
Adjusted CNA Staffing Hours per Resident per Day
2.40143
Adjusted LPN Staffing Hours per Resident per Day
1.48002
Adjusted RN Staffing Hours per Resident per Day
0.42435
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04178
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-04-10
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
4
Cycle 3 Standard Health Survey Date
2012-07-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
0
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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