Leroy Village Green R H C F Inc - Leroy Nursing Home
General Information
UPDATEFederal Provider Number
335635
Provider Name
LEROY VILLAGE GREEN R H C F INC
Provider Address
10 MUNSON STREET
LEROY, NY 14482
LEROY, NY 14482
Provider Phone Number
5857682561
Provider SSA County
290
Provider County Name
Genesee
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEROY VILLAGE GREEN RESIDENTIAL HEALTH CARE FACILITY INC
Date First Approved to Provide Medicare and Medicaid services
1979-09-01
Continuing Care Retirement Community
N
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.12231
Reported LPN Staffing Hours per Resident per Day
1.17727
Reported RN Staffing Hours per Resident per Day
0.57066
Reported Licensed Staffing Hours per Resident per Day
1.74793
Reported Total Nurse Staffing Hours per Resident per Day
3.87024
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05331
Expected CNA Staffing Hours per Resident per Day
2.60656
Expected LPN Staffing Hours per Resident per Day
0.66340
Expected RN Staffing Hours per Resident per Day
1.03449
Expected Total Nurse Staffing Hours per Resident per Day
4.30445
Adjusted CNA Staffing Hours per Resident per Day
1.99785
Adjusted LPN Staffing Hours per Resident per Day
1.47292
Adjusted RN Staffing Hours per Resident per Day
0.41218
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62428
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-04-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-04-29
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
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
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
21.33300
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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