Lakeside Beikirch Care Ctr - Brockport Nursing Home

General Information

UPDATE
Federal Provider Number
335569
Provider Name
LAKESIDE BEIKIRCH CARE CTR
Provider Address
170 WEST AVENUE
BROCKPORT, NY 14420
Provider Phone Number
5853956052
Provider SSA County
370
Provider County Name
Monroe
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKESIDE BEIKIRCH NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1976-12-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.50965
Reported LPN Staffing Hours per Resident per Day
1.06974
Reported RN Staffing Hours per Resident per Day
0.61360
Reported Licensed Staffing Hours per Resident per Day
1.68333
Reported Total Nurse Staffing Hours per Resident per Day
4.19299
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05965
Expected CNA Staffing Hours per Resident per Day
2.62580
Expected LPN Staffing Hours per Resident per Day
0.65631
Expected RN Staffing Hours per Resident per Day
1.06141
Expected Total Nurse Staffing Hours per Resident per Day
4.34353
Adjusted CNA Staffing Hours per Resident per Day
2.34516
Adjusted LPN Staffing Hours per Resident per Day
1.35283
Adjusted RN Staffing Hours per Resident per Day
0.43195
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89120
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-10
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
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-06-14
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-08-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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