St Camillus Residential Health Care Facility - Syracuse Nursing Home
General Information
UPDATEFederal Provider Number
335283
Provider Name
ST CAMILLUS RESIDENTIAL HEALTH CARE FACILITY
Provider Address
813 FAY ROAD
SYRACUSE, NY 13219
SYRACUSE, NY 13219
Provider Phone Number
(315) 488-2951
Provider SSA County
520
Provider County Name
Onondaga
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
284
Number of Residents in Certified Beds
274
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY
Date First Approved to Provide Medicare and Medicaid services
1969-03-03
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.37445
Reported LPN Staffing Hours per Resident per Day
1.38467
Reported RN Staffing Hours per Resident per Day
0.54307
Reported Licensed Staffing Hours per Resident per Day
1.92774
Reported Total Nurse Staffing Hours per Resident per Day
4.30219
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25310
Expected CNA Staffing Hours per Resident per Day
2.52492
Expected LPN Staffing Hours per Resident per Day
0.68590
Expected RN Staffing Hours per Resident per Day
1.16972
Expected Total Nurse Staffing Hours per Resident per Day
4.38054
Adjusted CNA Staffing Hours per Resident per Day
2.30747
Adjusted LPN Staffing Hours per Resident per Day
1.67557
Adjusted RN Staffing Hours per Resident per Day
0.34691
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95880
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-21
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
13
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-07-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
2
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
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