Sheridan Manor L L C - Tonawanda Nursing Home

General Information

UPDATE
Federal Provider Number
335180
Provider Name
SHERIDAN MANOR L L C
Provider Address
2799 SHERIDAN DRIVE
TONAWANDA, NY 14150
Provider Phone Number
(716) 837-4466
Provider SSA County
240
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHERIDAN MANOR, LLC
Date First Approved to Provide Medicare and Medicaid services
1972-01-28
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.99635
Reported LPN Staffing Hours per Resident per Day
0.71146
Reported RN Staffing Hours per Resident per Day
0.76094
Reported Licensed Staffing Hours per Resident per Day
1.47240
Reported Total Nurse Staffing Hours per Resident per Day
3.46875
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05781
Expected CNA Staffing Hours per Resident per Day
2.52320
Expected LPN Staffing Hours per Resident per Day
0.68683
Expected RN Staffing Hours per Resident per Day
1.07586
Expected Total Nurse Staffing Hours per Resident per Day
4.28588
Adjusted CNA Staffing Hours per Resident per Day
1.94137
Adjusted LPN Staffing Hours per Resident per Day
0.85977
Adjusted RN Staffing Hours per Resident per Day
0.52849
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26238
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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