St Francis Home Of Williamsville - Williamsville Nursing Home

General Information

UPDATE
Federal Provider Number
335172
Provider Name
ST FRANCIS HOME OF WILLIAMSVILLE
Provider Address
147 REIST STREET
WILLIAMSVILLE, NY 14221
Provider Phone Number
(716) 633-5400
Provider SSA County
240
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
142
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST FRANCIS HOME OF WILLIAMSVILLE
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
Partial

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.41457
Reported LPN Staffing Hours per Resident per Day
0.70236
Reported RN Staffing Hours per Resident per Day
1.14094
Reported Licensed Staffing Hours per Resident per Day
1.84331
Reported Total Nurse Staffing Hours per Resident per Day
4.25787
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08701
Expected CNA Staffing Hours per Resident per Day
2.75270
Expected LPN Staffing Hours per Resident per Day
0.67204
Expected RN Staffing Hours per Resident per Day
1.03177
Expected Total Nurse Staffing Hours per Resident per Day
4.45650
Adjusted CNA Staffing Hours per Resident per Day
2.15230
Adjusted LPN Staffing Hours per Resident per Day
0.86745
Adjusted RN Staffing Hours per Resident per Day
0.82626
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85124
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-12-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
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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