Robinson Terrace - Stamford Nursing Home
General Information
UPDATEFederal Provider Number
335236
Provider Name
ROBINSON TERRACE
Provider Address
28652 STATE HIGHWAY 23
STAMFORD, NY 12167
STAMFORD, NY 12167
Provider Phone Number
(607) 652-7521
Provider SSA County
220
Provider County Name
Delaware
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STAMFORD HEALTH CARE SOCIETY, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-11-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.31840
Reported LPN Staffing Hours per Resident per Day
0.70613
Reported RN Staffing Hours per Resident per Day
0.49245
Reported Licensed Staffing Hours per Resident per Day
1.19858
Reported Total Nurse Staffing Hours per Resident per Day
3.51698
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02689
Expected CNA Staffing Hours per Resident per Day
2.52946
Expected LPN Staffing Hours per Resident per Day
0.63272
Expected RN Staffing Hours per Resident per Day
0.85851
Expected Total Nurse Staffing Hours per Resident per Day
4.02070
Adjusted CNA Staffing Hours per Resident per Day
2.24896
Adjusted LPN Staffing Hours per Resident per Day
0.92629
Adjusted RN Staffing Hours per Resident per Day
0.42860
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52591
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-21
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
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-11-22
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
12
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
239
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
239
Total Weighted Health Survey Score
60.50000
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
5525
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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