Jennie B Richmond Chaffee Nursing Home Co., Inc. - Springville Nursing Home
General Information
UPDATEFederal Provider Number
335435
Provider Name
JENNIE B RICHMOND CHAFFEE NURSING HOME CO., INC.
Provider Address
222 EAST MAIN STREET
SPRINGVILLE, NY 14141
SPRINGVILLE, NY 14141
Provider Phone Number
7165922871
Provider SSA County
240
Provider County Name
Erie
Ownership Type
Non profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
JENNIE B. RICHMOND CHAFFEE NURSING HOME COMPANY
Date First Approved to Provide Medicare and Medicaid services
1975-02-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.45769
Reported LPN Staffing Hours per Resident per Day
0.89423
Reported RN Staffing Hours per Resident per Day
0.86154
Reported Licensed Staffing Hours per Resident per Day
1.75577
Reported Total Nurse Staffing Hours per Resident per Day
4.21346
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09615
Expected CNA Staffing Hours per Resident per Day
2.47329
Expected LPN Staffing Hours per Resident per Day
0.63619
Expected RN Staffing Hours per Resident per Day
1.17139
Expected Total Nurse Staffing Hours per Resident per Day
4.28087
Adjusted CNA Staffing Hours per Resident per Day
2.43822
Adjusted LPN Staffing Hours per Resident per Day
1.16666
Adjusted RN Staffing Hours per Resident per Day
0.54955
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96743
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
28
Cycle 1 Standard Survey Health Date
2015-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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