Montgomery Nursing And Rehabilitation Center - Montgomery Nursing Home

General Information

UPDATE
Federal Provider Number
335396
Provider Name
MONTGOMERY NURSING AND REHABILITATION CENTER
Provider Address
2817 ALBANY POST ROAD
MONTGOMERY, NY 12549
Provider Phone Number
8454573155
Provider SSA County
540
Provider County Name
Orange
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONTGOMERY OPERATING CO LLC
Date First Approved to Provide Medicare and Medicaid services
1973-11-01
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
3
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
2.29892
Reported LPN Staffing Hours per Resident per Day
0.67796
Reported RN Staffing Hours per Resident per Day
0.57796
Reported Licensed Staffing Hours per Resident per Day
1.25591
Reported Total Nurse Staffing Hours per Resident per Day
3.55484
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05753
Expected CNA Staffing Hours per Resident per Day
2.52036
Expected LPN Staffing Hours per Resident per Day
0.64231
Expected RN Staffing Hours per Resident per Day
1.10345
Expected Total Nurse Staffing Hours per Resident per Day
4.26613
Adjusted CNA Staffing Hours per Resident per Day
2.23811
Adjusted LPN Staffing Hours per Resident per Day
0.87606
Adjusted RN Staffing Hours per Resident per Day
0.39137
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35883
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
28
Cycle 1 Standard Survey Health Date
2014-07-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-28
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
12
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
26.66700
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

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