Schervier Pavilion - Warwick Nursing Home
General Information
UPDATEFederal Provider Number
335784
Provider Name
SCHERVIER PAVILION
Provider Address
22 VAN DUZER PLACE
WARWICK, NY 10990
WARWICK, NY 10990
Provider Phone Number
(845) 987-5717
Provider SSA County
540
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
120
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA FRANCES AT THE KNOLLS
Date First Approved to Provide Medicare and Medicaid services
1995-05-17
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
2.43056
Reported LPN Staffing Hours per Resident per Day
0.91204
Reported RN Staffing Hours per Resident per Day
0.78241
Reported Licensed Staffing Hours per Resident per Day
1.69444
Reported Total Nurse Staffing Hours per Resident per Day
4.12501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25741
Expected CNA Staffing Hours per Resident per Day
2.67562
Expected LPN Staffing Hours per Resident per Day
0.75459
Expected RN Staffing Hours per Resident per Day
1.34828
Expected Total Nurse Staffing Hours per Resident per Day
4.77848
Adjusted CNA Staffing Hours per Resident per Day
2.22897
Adjusted LPN Staffing Hours per Resident per Day
1.00319
Adjusted RN Staffing Hours per Resident per Day
0.43360
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47966
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
2015-04-02
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-04-23
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-04-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
5.33300
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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