Kirkhaven - Rochester Nursing Home
General Information
UPDATEFederal Provider Number
335668
Provider Name
KIRKHAVEN
Provider Address
254 ALEXANDER STREET
ROCHESTER, NY 14607
ROCHESTER, NY 14607
Provider Phone Number
5854611991
Provider SSA County
370
Provider County Name
Monroe
Ownership Type
Non profit - Church related
Number of Certified Beds
147
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GENESEE VALLEY PRESBYTERIAN NURSING CENTER
Date First Approved to Provide Medicare and Medicaid services
1984-02-20
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.25567
Reported LPN Staffing Hours per Resident per Day
0.91844
Reported RN Staffing Hours per Resident per Day
0.48652
Reported Licensed Staffing Hours per Resident per Day
1.40496
Reported Total Nurse Staffing Hours per Resident per Day
3.66063
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08121
Expected CNA Staffing Hours per Resident per Day
2.53017
Expected LPN Staffing Hours per Resident per Day
0.66342
Expected RN Staffing Hours per Resident per Day
1.06673
Expected Total Nurse Staffing Hours per Resident per Day
4.26031
Adjusted CNA Staffing Hours per Resident per Day
2.18750
Adjusted LPN Staffing Hours per Resident per Day
1.14906
Adjusted RN Staffing Hours per Resident per Day
0.34079
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46351
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-09-26
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
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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Woodside Manor Nursing Home
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Monroe Community Hospital
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ROCHESTER NY 14620 | 2.9 miles away
St Anns Home For The Aged
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Jewish Home Of Rochester
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