Newark Manor Nursing Home - Newark Nursing Home
General Information
UPDATEFederal Provider Number
335219
Provider Name
NEWARK MANOR NURSING HOME
Provider Address
222 WEST PEARL STREET
NEWARK, NY 14513
NEWARK, NY 14513
Provider Phone Number
(315) 331-4690
Provider SSA County
770
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEWARK MANOR NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-05-15
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.96019
Reported LPN Staffing Hours per Resident per Day
1.32407
Reported RN Staffing Hours per Resident per Day
0.56667
Reported Licensed Staffing Hours per Resident per Day
1.89074
Reported Total Nurse Staffing Hours per Resident per Day
3.85093
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05556
Expected CNA Staffing Hours per Resident per Day
2.35335
Expected LPN Staffing Hours per Resident per Day
0.60731
Expected RN Staffing Hours per Resident per Day
1.05764
Expected Total Nurse Staffing Hours per Resident per Day
4.01830
Adjusted CNA Staffing Hours per Resident per Day
2.04378
Adjusted LPN Staffing Hours per Resident per Day
1.80959
Adjusted RN Staffing Hours per Resident per Day
0.40034
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86301
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-11-17
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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