Heritage Commons Residential Health Care - Ticonderoga Nursing Home

General Information

UPDATE
Federal Provider Number
335482
Provider Name
HERITAGE COMMONS RESIDENTIAL HEALTH CARE
Provider Address
1019 WICKER STREET
TICONDEROGA, NY 12883
Provider Phone Number
5185856771
Provider SSA County
260
Provider County Name
Essex
Ownership Type
Non profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOSES LUDINGTON NURSING HOME COMPANY, INC
Date First Approved to Provide Medicare and Medicaid services
1976-04-01
Continuing Care Retirement Community
N
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40362
Reported LPN Staffing Hours per Resident per Day
0.99058
Reported RN Staffing Hours per Resident per Day
0.69493
Reported Licensed Staffing Hours per Resident per Day
1.68551
Reported Total Nurse Staffing Hours per Resident per Day
4.08913
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12101
Expected CNA Staffing Hours per Resident per Day
2.52276
Expected LPN Staffing Hours per Resident per Day
0.60484
Expected RN Staffing Hours per Resident per Day
0.90576
Expected Total Nurse Staffing Hours per Resident per Day
4.03336
Adjusted CNA Staffing Hours per Resident per Day
2.33782
Adjusted LPN Staffing Hours per Resident per Day
1.35935
Adjusted RN Staffing Hours per Resident per Day
0.57328
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08664
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
64
Cycle 2 Standard Health Survey Date
2013-03-28
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
16
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
52.00000
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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