Maplewood Nursing Home Inc - Webster Nursing Home
General Information
UPDATEFederal Provider Number
335572
Provider Name
MAPLEWOOD NURSING HOME INC
Provider Address
100 DANIEL DRIVE
WEBSTER, NY 14580
WEBSTER, NY 14580
Provider Phone Number
5858721800
Provider SSA County
370
Provider County Name
Monroe
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLEWOOD NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-11-22
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.23108
Reported LPN Staffing Hours per Resident per Day
1.29189
Reported RN Staffing Hours per Resident per Day
0.82230
Reported Licensed Staffing Hours per Resident per Day
2.11419
Reported Total Nurse Staffing Hours per Resident per Day
5.34527
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10068
Expected CNA Staffing Hours per Resident per Day
2.68227
Expected LPN Staffing Hours per Resident per Day
0.67182
Expected RN Staffing Hours per Resident per Day
1.01917
Expected Total Nurse Staffing Hours per Resident per Day
4.37326
Adjusted CNA Staffing Hours per Resident per Day
2.95575
Adjusted LPN Staffing Hours per Resident per Day
1.59607
Adjusted RN Staffing Hours per Resident per Day
0.60287
Adjusted Total Nurse Staffing Hours per Resident per Day
4.92682
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-06-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-04-23
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
8
Cycle 3 Standard Health Survey Date
2012-04-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
8.66700
Number of Facility Reported Incidents
2
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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