Our Lady Of Mercy Life Center - Guilderland Nursing Home

General Information

UPDATE
Federal Provider Number
335767
Provider Name
OUR LADY OF MERCY LIFE CENTER
Provider Address
2 MERCYCARE LANE
GUILDERLAND, NY 12084
Provider Phone Number
5184648100
Provider SSA County
0
Provider County Name
Albany
Ownership Type
Non profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
152
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OUR LADY OF MERCY LIFE CENTER
Date First Approved to Provide Medicare and Medicaid services
1993-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57500
Reported LPN Staffing Hours per Resident per Day
1.58125
Reported RN Staffing Hours per Resident per Day
1.10822
Reported Licensed Staffing Hours per Resident per Day
2.68947
Reported Total Nurse Staffing Hours per Resident per Day
5.26447
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07993
Expected CNA Staffing Hours per Resident per Day
2.62891
Expected LPN Staffing Hours per Resident per Day
0.67809
Expected RN Staffing Hours per Resident per Day
1.09892
Expected Total Nurse Staffing Hours per Resident per Day
4.40592
Adjusted CNA Staffing Hours per Resident per Day
2.40338
Adjusted LPN Staffing Hours per Resident per Day
1.93549
Adjusted RN Staffing Hours per Resident per Day
0.75352
Adjusted Total Nurse Staffing Hours per Resident per Day
4.81637
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-06-06
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
68
Cycle 2 Standard Health Survey Date
2013-06-10
Cycle 2 Number of Health Revisits
1
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
16
Cycle 3 Standard Health Survey Date
2012-05-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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