St Johnsville Rehab & Nursing - Saint Johnsville Nursing Home
General Information
UPDATEFederal Provider Number
335704
Provider Name
ST JOHNSVILLE REHAB & NURSING
Provider Address
7 TIMMERMAN AVENUE
SAINT JOHNSVILLE, NY 13452
SAINT JOHNSVILLE, NY 13452
Provider Phone Number
(518) 568-5037
Provider SSA County
380
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST JOHNSVILLE REHABILITATION AND NURSING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1989-06-28
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.77802
Reported LPN Staffing Hours per Resident per Day
1.03276
Reported RN Staffing Hours per Resident per Day
0.34569
Reported Licensed Staffing Hours per Resident per Day
1.37845
Reported Total Nurse Staffing Hours per Resident per Day
3.15647
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16293
Expected CNA Staffing Hours per Resident per Day
2.51420
Expected LPN Staffing Hours per Resident per Day
0.67996
Expected RN Staffing Hours per Resident per Day
1.13001
Expected Total Nurse Staffing Hours per Resident per Day
4.32417
Adjusted CNA Staffing Hours per Resident per Day
1.73523
Adjusted LPN Staffing Hours per Resident per Day
1.26065
Adjusted RN Staffing Hours per Resident per Day
0.22858
Adjusted Total Nurse Staffing Hours per Resident per Day
2.94240
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
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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