Kendal At Ithaca - Ithaca Nursing Home
General Information
UPDATEFederal Provider Number
335793
Provider Name
KENDAL AT ITHACA
Provider Address
2230 NORTH TRIPHAMMER ROAD
ITHACA, NY 14850
ITHACA, NY 14850
Provider Phone Number
(607) 266-5301
Provider SSA County
730
Provider County Name
Tompkins
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KENDAL AT ITHACA
Date First Approved to Provide Medicare and Medicaid services
1996-02-23
Continuing Care Retirement Community
Y
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
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.78621
Reported LPN Staffing Hours per Resident per Day
1.40345
Reported RN Staffing Hours per Resident per Day
1.86379
Reported Licensed Staffing Hours per Resident per Day
3.26724
Reported Total Nurse Staffing Hours per Resident per Day
6.05345
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14483
Expected CNA Staffing Hours per Resident per Day
2.35359
Expected LPN Staffing Hours per Resident per Day
0.51585
Expected RN Staffing Hours per Resident per Day
0.77859
Expected Total Nurse Staffing Hours per Resident per Day
3.64802
Adjusted CNA Staffing Hours per Resident per Day
2.90473
Adjusted LPN Staffing Hours per Resident per Day
2.25816
Adjusted RN Staffing Hours per Resident per Day
1.78865
Adjusted Total Nurse Staffing Hours per Resident per Day
6.68879
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-07
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
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
3.33300
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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