Ideal Senior Living Center - Endicott Nursing Home

General Information

UPDATE
Federal Provider Number
335520
Provider Name
IDEAL SENIOR LIVING CENTER
Provider Address
601 HIGH AVENUE
ENDICOTT, NY 13760
Provider Phone Number
(607) 786-7300
Provider SSA County
30
Provider County Name
Broome
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
144
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
IDEAL SENIOR LIVING CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1976-05-03
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.37014
Reported LPN Staffing Hours per Resident per Day
0.96806
Reported RN Staffing Hours per Resident per Day
0.54028
Reported Licensed Staffing Hours per Resident per Day
1.50833
Reported Total Nurse Staffing Hours per Resident per Day
3.87848
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08438
Expected CNA Staffing Hours per Resident per Day
2.64971
Expected LPN Staffing Hours per Resident per Day
0.63173
Expected RN Staffing Hours per Resident per Day
0.97714
Expected Total Nurse Staffing Hours per Resident per Day
4.25857
Adjusted CNA Staffing Hours per Resident per Day
2.19481
Adjusted LPN Staffing Hours per Resident per Day
1.27189
Adjusted RN Staffing Hours per Resident per Day
0.41314
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67113
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
320
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
320
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
132.66700
Number of Facility Reported Incidents
3
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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