Indian River Rehab And Nursing Center - Granville Nursing Home
General Information
UPDATEFederal Provider Number
335331
Provider Name
INDIAN RIVER REHAB AND NURSING CENTER
Provider Address
17 MADISON STREET
GRANVILLE, NY 12832
GRANVILLE, NY 12832
Provider Phone Number
(518) 642-2710
Provider SSA County
760
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
IROP LLC
Date First Approved to Provide Medicare and Medicaid services
1971-08-22
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
1
QM Rating Footnote
Staffing Rating
3
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
2.93832
Reported LPN Staffing Hours per Resident per Day
1.54579
Reported RN Staffing Hours per Resident per Day
0.57850
Reported Licensed Staffing Hours per Resident per Day
2.12430
Reported Total Nurse Staffing Hours per Resident per Day
5.06261
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23645
Expected CNA Staffing Hours per Resident per Day
2.54970
Expected LPN Staffing Hours per Resident per Day
0.70834
Expected RN Staffing Hours per Resident per Day
1.21757
Expected Total Nurse Staffing Hours per Resident per Day
4.47560
Adjusted CNA Staffing Hours per Resident per Day
2.82769
Adjusted LPN Staffing Hours per Resident per Day
1.81128
Adjusted RN Staffing Hours per Resident per Day
0.35502
Adjusted Total Nurse Staffing Hours per Resident per Day
4.55958
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
390
Cycle 1 Standard Survey Health Date
2014-11-08
Cycle 1 Number of Health Revisits
3
Cycle 1 Health Revisit Score
273
Cycle 1 Total Health Score
663
Cycle 2 Total Number of Health Deficiencies
39
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
27
Cycle 2 Health Deficiency Score
1632
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
816
Cycle 2 Total Health Score
2448
Cycle 3 Total Number of Health Deficiencies
28
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
156
Cycle 3 Standard Health Survey Date
2012-08-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
156
Total Weighted Health Survey Score
1173.50000
Number of Facility Reported Incidents
12
Number of Substantiated Complaints
21
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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