Odd Fellow And Rebekah Rehab & Hlth Care Ctr Inc - Lockport Nursing Home
General Information
UPDATEFederal Provider Number
335500
Provider Name
ODD FELLOW AND REBEKAH REHAB & HLTH CARE CTR INC
Provider Address
104 OLD NIAGARA ROAD
LOCKPORT, NY 14094
LOCKPORT, NY 14094
Provider Phone Number
(716) 434-6324
Provider SSA County
500
Provider County Name
Niagara
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ODD FELLOW AND REBEKAH REHABILITATION AND HEALTH CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1976-08-01
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
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
2.22902
Reported LPN Staffing Hours per Resident per Day
1.03170
Reported RN Staffing Hours per Resident per Day
0.74643
Reported Licensed Staffing Hours per Resident per Day
1.77813
Reported Total Nurse Staffing Hours per Resident per Day
4.00715
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13348
Expected CNA Staffing Hours per Resident per Day
2.69795
Expected LPN Staffing Hours per Resident per Day
0.75085
Expected RN Staffing Hours per Resident per Day
1.21806
Expected Total Nurse Staffing Hours per Resident per Day
4.66686
Adjusted CNA Staffing Hours per Resident per Day
2.02722
Adjusted LPN Staffing Hours per Resident per Day
1.14046
Adjusted RN Staffing Hours per Resident per Day
0.45789
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46109
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
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
36.00000
Number of Facility Reported Incidents
1
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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