Niagara Lutheran Home & Rehabilitation Center, Inc - Buffalo Nursing Home
General Information
UPDATEFederal Provider Number
335164
Provider Name
NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC
Provider Address
64 HAGER STREET
BUFFALO, NY 14208
BUFFALO, NY 14208
Provider Phone Number
(716) 886-4377
Provider SSA County
240
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
173
Number of Residents in Certified Beds
157
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NIAGARA LUTHERAN HOME AND REHABILITATION CENTER.INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.30000
Reported LPN Staffing Hours per Resident per Day
0.88854
Reported RN Staffing Hours per Resident per Day
0.46306
Reported Licensed Staffing Hours per Resident per Day
1.35159
Reported Total Nurse Staffing Hours per Resident per Day
3.65160
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03694
Expected CNA Staffing Hours per Resident per Day
2.69830
Expected LPN Staffing Hours per Resident per Day
0.66398
Expected RN Staffing Hours per Resident per Day
0.96505
Expected Total Nurse Staffing Hours per Resident per Day
4.32733
Adjusted CNA Staffing Hours per Resident per Day
2.09151
Adjusted LPN Staffing Hours per Resident per Day
1.11070
Adjusted RN Staffing Hours per Resident per Day
0.35853
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40146
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-11-10
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
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
1
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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