Harris Hill Nursing Facility L L C - Williamsville Nursing Home
General Information
UPDATEFederal Provider Number
335757
Provider Name
HARRIS HILL NURSING FACILITY L L C
Provider Address
2699 WEHRLE DRIVE
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
Provider Phone Number
(716) 632-3700
Provider SSA County
240
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
192
Number of Residents in Certified Beds
185
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HARRIS HILL NURSING FACILITY PTRSH
Date First Approved to Provide Medicare and Medicaid services
1992-04-08
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.88622
Reported LPN Staffing Hours per Resident per Day
1.18216
Reported RN Staffing Hours per Resident per Day
0.83297
Reported Licensed Staffing Hours per Resident per Day
2.01514
Reported Total Nurse Staffing Hours per Resident per Day
4.90135
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23162
Expected CNA Staffing Hours per Resident per Day
2.68623
Expected LPN Staffing Hours per Resident per Day
0.65007
Expected RN Staffing Hours per Resident per Day
1.21554
Expected Total Nurse Staffing Hours per Resident per Day
4.55184
Adjusted CNA Staffing Hours per Resident per Day
2.63638
Adjusted LPN Staffing Hours per Resident per Day
1.50936
Adjusted RN Staffing Hours per Resident per Day
0.51203
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34041
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
4
Cycle 1 Standard Survey Health Date
2015-04-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
8
Cycle 2 Standard Health Survey Date
2014-02-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
5.33300
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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