Mohawk Valley Health Care Center - Ilion Nursing Home
General Information
UPDATEFederal Provider Number
335386
Provider Name
MOHAWK VALLEY HEALTH CARE CENTER
Provider Address
99 SIXTH AVENUE
ILION, NY 13357
ILION, NY 13357
Provider Phone Number
(315) 895-4050
Provider SSA County
320
Provider County Name
Herkimer
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1972-11-21
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
Partial
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
2.48286
Reported LPN Staffing Hours per Resident per Day
1.03905
Reported RN Staffing Hours per Resident per Day
0.69762
Reported Licensed Staffing Hours per Resident per Day
1.73667
Reported Total Nurse Staffing Hours per Resident per Day
4.21953
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10952
Expected CNA Staffing Hours per Resident per Day
2.62207
Expected LPN Staffing Hours per Resident per Day
0.76266
Expected RN Staffing Hours per Resident per Day
1.20190
Expected Total Nurse Staffing Hours per Resident per Day
4.58663
Adjusted CNA Staffing Hours per Resident per Day
2.32343
Adjusted LPN Staffing Hours per Resident per Day
1.13079
Adjusted RN Staffing Hours per Resident per Day
0.43370
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70828
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-08-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
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
8
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
42.66700
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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