Heritage Park Health Care Center - Jamestown Nursing Home
General Information
UPDATEFederal Provider Number
335142
Provider Name
HERITAGE PARK HEALTH CARE CENTER
Provider Address
150 PRATHER AVENUE
JAMESTOWN, NY 14701
JAMESTOWN, NY 14701
Provider Phone Number
(716) 488-1921
Provider SSA County
60
Provider County Name
Chautauqua
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
149
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE GERRY HOMES
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
Health Inspection Rating Footnote
QM Rating
3
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
2.32199
Reported LPN Staffing Hours per Resident per Day
0.96028
Reported RN Staffing Hours per Resident per Day
0.42695
Reported Licensed Staffing Hours per Resident per Day
1.38723
Reported Total Nurse Staffing Hours per Resident per Day
3.70922
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03865
Expected CNA Staffing Hours per Resident per Day
2.60392
Expected LPN Staffing Hours per Resident per Day
0.60615
Expected RN Staffing Hours per Resident per Day
0.91946
Expected Total Nurse Staffing Hours per Resident per Day
4.12953
Adjusted CNA Staffing Hours per Resident per Day
2.18803
Adjusted LPN Staffing Hours per Resident per Day
1.31491
Adjusted RN Staffing Hours per Resident per Day
0.34696
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62063
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
28
Cycle 1 Standard Survey Health Date
2014-03-28
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-02-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-01-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
33.33300
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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