Northwoods Rehab And E C F At Moravia - Moravia Nursing Home

General Information

UPDATE
Federal Provider Number
335077
Provider Name
NORTHWOODS REHAB AND E C F AT MORAVIA
Provider Address
PO BOX 1079
MORAVIA, NY 13118
Provider Phone Number
(315) 497-0440
Provider SSA County
50
Provider County Name
Cayuga
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
40
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHWOODS OPERATIONS ASSOCIATES
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.82206
Reported LPN Staffing Hours per Resident per Day
1.01912
Reported RN Staffing Hours per Resident per Day
0.30882
Reported Licensed Staffing Hours per Resident per Day
1.32794
Reported Total Nurse Staffing Hours per Resident per Day
3.15000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16618
Expected CNA Staffing Hours per Resident per Day
2.68223
Expected LPN Staffing Hours per Resident per Day
0.57769
Expected RN Staffing Hours per Resident per Day
0.88525
Expected Total Nurse Staffing Hours per Resident per Day
4.14517
Adjusted CNA Staffing Hours per Resident per Day
1.66682
Adjusted LPN Staffing Hours per Resident per Day
1.46422
Adjusted RN Staffing Hours per Resident per Day
0.26066
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06316
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
184
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
184
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-06-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
118.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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