New York Nursing Homes >> North Tonawanda Nursing Homes >> Kaleida Health Degraff Memorial Hospital S N F

Kaleida Health Degraff Memorial Hospital S N F - North Tonawanda Nursing Home

General Information

UPDATE
Federal Provider Number
335669
Provider Name
KALEIDA HEALTH DEGRAFF MEMORIAL HOSPITAL S N F
Provider Address
445 TREMONT STREET
NORTH TONAWANDA, NY 14120
Provider Phone Number
7166902080
Provider SSA County
500
Provider County Name
Niagara
Ownership Type
Non profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
KALEIDA HEALTH
Date First Approved to Provide Medicare and Medicaid services
1984-04-01
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.11447
Reported LPN Staffing Hours per Resident per Day
0.88026
Reported RN Staffing Hours per Resident per Day
0.91579
Reported Licensed Staffing Hours per Resident per Day
1.79605
Reported Total Nurse Staffing Hours per Resident per Day
3.91052
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21118
Expected CNA Staffing Hours per Resident per Day
2.70360
Expected LPN Staffing Hours per Resident per Day
0.68819
Expected RN Staffing Hours per Resident per Day
1.10377
Expected Total Nurse Staffing Hours per Resident per Day
4.49557
Adjusted CNA Staffing Hours per Resident per Day
1.91902
Adjusted LPN Staffing Hours per Resident per Day
1.06165
Adjusted RN Staffing Hours per Resident per Day
0.61995
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50632
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
16
Cycle 2 Standard Health Survey Date
2013-12-02
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
30.66700
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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