James G Johnston Memorial Nursing Home - Johnson City Nursing Home
General Information
UPDATEFederal Provider Number
335675
Provider Name
JAMES G JOHNSTON MEMORIAL NURSING HOME
Provider Address
285 DEYO HILL ROAD
JOHNSON CITY, NY 13790
JOHNSON CITY, NY 13790
Provider Phone Number
(607) 798-7818
Provider SSA County
30
Provider County Name
Broome
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
122
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1984-10-01
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
4
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
2.62797
Reported LPN Staffing Hours per Resident per Day
0.98686
Reported RN Staffing Hours per Resident per Day
0.86695
Reported Licensed Staffing Hours per Resident per Day
1.85381
Reported Total Nurse Staffing Hours per Resident per Day
4.48178
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04534
Expected CNA Staffing Hours per Resident per Day
2.48977
Expected LPN Staffing Hours per Resident per Day
0.66601
Expected RN Staffing Hours per Resident per Day
1.04216
Expected Total Nurse Staffing Hours per Resident per Day
4.19794
Adjusted CNA Staffing Hours per Resident per Day
2.58990
Adjusted LPN Staffing Hours per Resident per Day
1.22986
Adjusted RN Staffing Hours per Resident per Day
0.62158
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30345
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
15.33300
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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