Katherine Luther Residential Hlth Care & Rehab - Clinton Nursing Home

General Information

UPDATE
Federal Provider Number
335006
Provider Name
KATHERINE LUTHER RESIDENTIAL HLTH CARE & REHAB
Provider Address
110 UTICA ROAD
CLINTON, NY 13323
Provider Phone Number
3158535515
Provider SSA County
510
Provider County Name
Oneida
Ownership Type
Non profit - Church related
Number of Certified Beds
280
Number of Residents in Certified Beds
250
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KATHERINE LUTHER RESIDENTIAL HEALTHCARE & REHABILITATION CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.44240
Reported LPN Staffing Hours per Resident per Day
0.83280
Reported RN Staffing Hours per Resident per Day
0.64440
Reported Licensed Staffing Hours per Resident per Day
1.47720
Reported Total Nurse Staffing Hours per Resident per Day
3.91960
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06860
Expected CNA Staffing Hours per Resident per Day
2.46592
Expected LPN Staffing Hours per Resident per Day
0.63115
Expected RN Staffing Hours per Resident per Day
0.97634
Expected Total Nurse Staffing Hours per Resident per Day
4.07341
Adjusted CNA Staffing Hours per Resident per Day
2.43030
Adjusted LPN Staffing Hours per Resident per Day
1.09518
Adjusted RN Staffing Hours per Resident per Day
0.49316
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87869
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2014-02-14
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
253
Cycle 3 Standard Health Survey Date
2013-06-14
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
127
Cycle 3 Total Health Score
380
Total Weighted Health Survey Score
102.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
4550
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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