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Lewis County R H C F - Lowville Nursing Home

General Information

UPDATE
Federal Provider Number
335428
Provider Name
LEWIS COUNTY R H C F
Provider Address
7785 NORTH STATE STREET
LOWVILLE, NY 13367
Provider Phone Number
3153765200
Provider SSA County
340
Provider County Name
Lewis
Ownership Type
Government - County
Number of Certified Beds
160
Number of Residents in Certified Beds
150
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
LEWIS COUNTY GENERAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1975-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.92200
Reported LPN Staffing Hours per Resident per Day
1.01967
Reported RN Staffing Hours per Resident per Day
0.29467
Reported Licensed Staffing Hours per Resident per Day
1.31433
Reported Total Nurse Staffing Hours per Resident per Day
4.23634
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04133
Expected CNA Staffing Hours per Resident per Day
2.59086
Expected LPN Staffing Hours per Resident per Day
0.63178
Expected RN Staffing Hours per Resident per Day
0.93254
Expected Total Nurse Staffing Hours per Resident per Day
4.15518
Adjusted CNA Staffing Hours per Resident per Day
2.76731
Adjusted LPN Staffing Hours per Resident per Day
1.33959
Adjusted RN Staffing Hours per Resident per Day
0.23610
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10964
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
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
60
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-08
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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