Norwich Rehabilitation & Nursing Center - Norwich Nursing Home
General Information
UPDATEFederal Provider Number
335759
Provider Name
NORWICH REHABILITATION & NURSING CENTER
Provider Address
88 CALVARY DRIVE
NORWICH, NY 13815
NORWICH, NY 13815
Provider Phone Number
(607) 336-3915
Provider SSA County
80
Provider County Name
Chenango
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORWICH OPERATING CO LLC
Date First Approved to Provide Medicare and Medicaid services
1992-06-16
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
5
QM Rating Footnote
Staffing Rating
1
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
1.97692
Reported LPN Staffing Hours per Resident per Day
0.87372
Reported RN Staffing Hours per Resident per Day
0.64487
Reported Licensed Staffing Hours per Resident per Day
1.51859
Reported Total Nurse Staffing Hours per Resident per Day
3.49551
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17244
Expected CNA Staffing Hours per Resident per Day
2.57958
Expected LPN Staffing Hours per Resident per Day
0.74796
Expected RN Staffing Hours per Resident per Day
1.35568
Expected Total Nurse Staffing Hours per Resident per Day
4.68323
Adjusted CNA Staffing Hours per Resident per Day
1.88045
Adjusted LPN Staffing Hours per Resident per Day
0.96955
Adjusted RN Staffing Hours per Resident per Day
0.35543
Adjusted Total Nurse Staffing Hours per Resident per Day
3.00862
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
42.00000
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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