New York Nursing Homes >> Bath Nursing Homes >> Ira Davenport Memorial Hospital S N F

Ira Davenport Memorial Hospital S N F - Bath Nursing Home

General Information

UPDATE
Federal Provider Number
335706
Provider Name
IRA DAVENPORT MEMORIAL HOSPITAL S N F
Provider Address
7571 STATE ROUTE 54
BATH, NY 14810
Provider Phone Number
(607) 776-8500
Provider SSA County
690
Provider County Name
Steuben
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
IRA DAVENPORT MEMORIAL HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
1989-10-02
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.76858
Reported LPN Staffing Hours per Resident per Day
0.87611
Reported RN Staffing Hours per Resident per Day
0.50000
Reported Licensed Staffing Hours per Resident per Day
1.37611
Reported Total Nurse Staffing Hours per Resident per Day
4.14469
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22434
Expected CNA Staffing Hours per Resident per Day
2.47788
Expected LPN Staffing Hours per Resident per Day
0.58075
Expected RN Staffing Hours per Resident per Day
0.77655
Expected Total Nurse Staffing Hours per Resident per Day
3.83518
Adjusted CNA Staffing Hours per Resident per Day
2.74156
Adjusted LPN Staffing Hours per Resident per Day
1.25212
Adjusted RN Staffing Hours per Resident per Day
0.48110
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35620
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
1
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
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