Masonic Care Community Of New York - Utica Nursing Home
General Information
UPDATEFederal Provider Number
335541
Provider Name
MASONIC CARE COMMUNITY OF NEW YORK
Provider Address
2150 BLEECKER STREET
UTICA, NY 13501
UTICA, NY 13501
Provider Phone Number
(315) 798-4800
Provider SSA County
510
Provider County Name
Oneida
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
320
Number of Residents in Certified Beds
320
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND
Date First Approved to Provide Medicare and Medicaid services
1976-04-01
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
1
Health Inspection Rating Footnote
QM Rating
4
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
2.78297
Reported LPN Staffing Hours per Resident per Day
0.99141
Reported RN Staffing Hours per Resident per Day
0.72016
Reported Licensed Staffing Hours per Resident per Day
1.71156
Reported Total Nurse Staffing Hours per Resident per Day
4.49454
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05375
Expected CNA Staffing Hours per Resident per Day
2.59099
Expected LPN Staffing Hours per Resident per Day
0.62413
Expected RN Staffing Hours per Resident per Day
0.96274
Expected Total Nurse Staffing Hours per Resident per Day
4.17786
Adjusted CNA Staffing Hours per Resident per Day
2.63551
Adjusted LPN Staffing Hours per Resident per Day
1.31843
Adjusted RN Staffing Hours per Resident per Day
0.55893
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33644
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
60
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
58.00000
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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