New York Nursing Homes >> Penn Yan Nursing Homes >> Penn Yan Manor Nursing Home In

Penn Yan Manor Nursing Home In - Penn Yan Nursing Home

General Information

UPDATE
Federal Provider Number
335494
Provider Name
PENN YAN MANOR NURSING HOME IN
Provider Address
655 N LIBERTY STREET
PENN YAN, NY 14527
Provider Phone Number
(315) 536-2311
Provider SSA County
910
Provider County Name
Yates
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PENN YAN MANOR NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
3.18953
Reported LPN Staffing Hours per Resident per Day
0.86395
Reported RN Staffing Hours per Resident per Day
0.39884
Reported Licensed Staffing Hours per Resident per Day
1.26279
Reported Total Nurse Staffing Hours per Resident per Day
4.45232
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13256
Expected CNA Staffing Hours per Resident per Day
2.59465
Expected LPN Staffing Hours per Resident per Day
0.60893
Expected RN Staffing Hours per Resident per Day
0.81540
Expected Total Nurse Staffing Hours per Resident per Day
4.01898
Adjusted CNA Staffing Hours per Resident per Day
3.01626
Adjusted LPN Staffing Hours per Resident per Day
1.17760
Adjusted RN Staffing Hours per Resident per Day
0.36548
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46553
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
17.33300
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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