Samaritan Keep Nursing Home Inc - Watertown Nursing Home
General Information
UPDATEFederal Provider Number
335431
Provider Name
SAMARITAN KEEP NURSING HOME INC
Provider Address
133 PRATT ST
WATERTOWN, NY 13601
WATERTOWN, NY 13601
Provider Phone Number
3157854400
Provider SSA County
330
Provider County Name
Jefferson
Ownership Type
Non profit - Corporation
Number of Certified Beds
272
Number of Residents in Certified Beds
266
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAMARITAN KEEP NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1975-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
1
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
2.52838
Reported LPN Staffing Hours per Resident per Day
0.90000
Reported RN Staffing Hours per Resident per Day
0.38665
Reported Licensed Staffing Hours per Resident per Day
1.28665
Reported Total Nurse Staffing Hours per Resident per Day
3.81503
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04305
Expected CNA Staffing Hours per Resident per Day
2.57067
Expected LPN Staffing Hours per Resident per Day
0.65060
Expected RN Staffing Hours per Resident per Day
0.93358
Expected Total Nurse Staffing Hours per Resident per Day
4.15485
Adjusted CNA Staffing Hours per Resident per Day
2.41333
Adjusted LPN Staffing Hours per Resident per Day
1.14817
Adjusted RN Staffing Hours per Resident per Day
0.30946
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70122
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-04-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-03-07
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-02-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
70.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
Samaritan Senior Village, Inc
22691 Campus Drive |
WATERTOWN NY 13601 | 1.1 miles away
The Country Manor Nursing And Rehab Ctr
1045 West Street |
CARTHAGE NY 13619 | 16.1 miles away
Carthage Area Hospital S N F
1001 West Street Road |
CARTHAGE NY 13619 | 17.5 miles away
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