Medina Memorial Hospital S N F - Medina Nursing Home

General Information

UPDATE
Federal Provider Number
335313
Provider Name
MEDINA MEMORIAL HOSPITAL S N F
Provider Address
200 OHIO STREET
MEDINA, NY 14103
Provider Phone Number
5857982000
Provider SSA County
550
Provider County Name
Orleans
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
ORLEANS COMMUNITY HEALTH
Date First Approved to Provide Medicare and Medicaid services
1970-08-27
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.85400
Reported LPN Staffing Hours per Resident per Day
1.17600
Reported RN Staffing Hours per Resident per Day
0.41600
Reported Licensed Staffing Hours per Resident per Day
1.59200
Reported Total Nurse Staffing Hours per Resident per Day
4.44600
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11400
Expected CNA Staffing Hours per Resident per Day
2.34886
Expected LPN Staffing Hours per Resident per Day
0.68834
Expected RN Staffing Hours per Resident per Day
0.94898
Expected Total Nurse Staffing Hours per Resident per Day
3.98617
Adjusted CNA Staffing Hours per Resident per Day
2.98139
Adjusted LPN Staffing Hours per Resident per Day
1.41803
Adjusted RN Staffing Hours per Resident per Day
0.32755
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49589
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-12-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-10
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
48.00000
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

Nursiong Homes Nearby

Orchard Manor Rehabilitation And Nursing Center

600 Bates Road | MEDINA NY 14103 | 1.5 miles away

The Villages Of Orleans Health And Rehab Ctr

14012 Route 31 | ALBION NY 14411 | 9.2 miles away

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