Iroquois Nursing Home Inc - Jamesville Nursing Home

General Information

UPDATE
Federal Provider Number
335764
Provider Name
IROQUOIS NURSING HOME INC
Provider Address
4600 SOUTHWOOD HEIGHTS DRIVE
JAMESVILLE, NY 13078
Provider Phone Number
(315) 469-1300
Provider SSA County
520
Provider County Name
Onondaga
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
157
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
IROQUOIS NURSING HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1992-11-04
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
4
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
2.19936
Reported LPN Staffing Hours per Resident per Day
1.09904
Reported RN Staffing Hours per Resident per Day
0.60159
Reported Licensed Staffing Hours per Resident per Day
1.70064
Reported Total Nurse Staffing Hours per Resident per Day
3.89999
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17197
Expected CNA Staffing Hours per Resident per Day
2.55659
Expected LPN Staffing Hours per Resident per Day
0.68359
Expected RN Staffing Hours per Resident per Day
1.24116
Expected Total Nurse Staffing Hours per Resident per Day
4.48134
Adjusted CNA Staffing Hours per Resident per Day
2.11084
Adjusted LPN Staffing Hours per Resident per Day
1.33443
Adjusted RN Staffing Hours per Resident per Day
0.36217
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50798
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-05-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
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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