Penfield Place - Penfield Nursing Home
General Information
UPDATEFederal Provider Number
335407
Provider Name
PENFIELD PLACE
Provider Address
1700 PENFIELD RD
PENFIELD, NY 14526
PENFIELD, NY 14526
Provider Phone Number
(585) 586-7433
Provider SSA County
370
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PENFIELD PLACE, LLC
Date First Approved to Provide Medicare and Medicaid services
1974-02-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.02234
Reported LPN Staffing Hours per Resident per Day
0.67021
Reported RN Staffing Hours per Resident per Day
0.64362
Reported Licensed Staffing Hours per Resident per Day
1.31383
Reported Total Nurse Staffing Hours per Resident per Day
3.33617
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09468
Expected CNA Staffing Hours per Resident per Day
2.36497
Expected LPN Staffing Hours per Resident per Day
0.60694
Expected RN Staffing Hours per Resident per Day
1.10500
Expected Total Nurse Staffing Hours per Resident per Day
4.07690
Adjusted CNA Staffing Hours per Resident per Day
2.09821
Adjusted LPN Staffing Hours per Resident per Day
0.91653
Adjusted RN Staffing Hours per Resident per Day
0.43522
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29852
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-30
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
24
Cycle 3 Standard Health Survey Date
2013-05-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
20.66700
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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