St Lukes Home - Utica Nursing Home
General Information
UPDATEFederal Provider Number
335801
Provider Name
ST LUKES HOME
Provider Address
1650 CHAMPLIN AVENUE
UTICA, NY 13504
UTICA, NY 13504
Provider Phone Number
(315) 624-8600
Provider SSA County
510
Provider County Name
Oneida
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
202
Number of Residents in Certified Beds
188
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST LUKE'S RESIDENTIAL HEALTHCARE FACILITY INC
Date First Approved to Provide Medicare and Medicaid services
1996-09-04
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
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.18617
Reported LPN Staffing Hours per Resident per Day
1.14362
Reported RN Staffing Hours per Resident per Day
0.73803
Reported Licensed Staffing Hours per Resident per Day
1.88165
Reported Total Nurse Staffing Hours per Resident per Day
4.06782
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11277
Expected CNA Staffing Hours per Resident per Day
2.61932
Expected LPN Staffing Hours per Resident per Day
0.68743
Expected RN Staffing Hours per Resident per Day
1.11734
Expected Total Nurse Staffing Hours per Resident per Day
4.42409
Adjusted CNA Staffing Hours per Resident per Day
2.04794
Adjusted LPN Staffing Hours per Resident per Day
1.38081
Adjusted RN Staffing Hours per Resident per Day
0.49354
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70629
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-04-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-09-12
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
23
Cycle 3 Number of Standard Health Deficiencies
22
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
215
Cycle 3 Standard Health Survey Date
2013-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
215
Total Weighted Health Survey Score
50.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
53400
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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