Heritage Village Rehab And Skilled Nursing Inc. - Gerry Nursing Home
General Information
UPDATEFederal Provider Number
335353
Provider Name
HERITAGE VILLAGE REHAB AND SKILLED NURSING INC.
Provider Address
4570 ROUTE 60
GERRY, NY 14740
GERRY, NY 14740
Provider Phone Number
7169854612
Provider SSA County
60
Provider County Name
Chautauqua
Ownership Type
Non profit - Church related
Number of Certified Beds
120
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE VILLAGE REHAB & SKILLED NURSING INC
Date First Approved to Provide Medicare and Medicaid services
1972-08-01
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.32667
Reported LPN Staffing Hours per Resident per Day
0.72083
Reported RN Staffing Hours per Resident per Day
0.69042
Reported Licensed Staffing Hours per Resident per Day
1.41125
Reported Total Nurse Staffing Hours per Resident per Day
3.73792
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05042
Expected CNA Staffing Hours per Resident per Day
2.63980
Expected LPN Staffing Hours per Resident per Day
0.58820
Expected RN Staffing Hours per Resident per Day
0.91752
Expected Total Nurse Staffing Hours per Resident per Day
4.14551
Adjusted CNA Staffing Hours per Resident per Day
2.16264
Adjusted LPN Staffing Hours per Resident per Day
1.01716
Adjusted RN Staffing Hours per Resident per Day
0.56226
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63458
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
2014-09-19
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
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-02
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
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
Lutheran Retirement Home
715 Falconer Street |
JAMESTOWN NY 14701 | 6 miles away
Heritage Park Health Care Center
150 Prather Avenue |
JAMESTOWN NY 14701 | 7.3 miles away
Absolut Ctr For Nursing & Rehab Westfield L L C
26 Cass Street |
WESTFIELD NY 14787 | 18.8 miles away
Chautauqua County Home
10836 Temple Road |
DUNKIRK NY 14048 | 20 miles away
Absolut Ctr For Nursing & Rehab Dunkirk L L C
447 449 Lake Shore Drive West |
DUNKIRK NY 14048 | 20.4 miles away
T L C Health Network Lake Shore Hosp Nursing Fac
845 Routes 5 And 20 |
IRVING NY 14081 | 25.9 miles away
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