St Regis Nursing Home Inc - Massena Nursing Home
General Information
UPDATEFederal Provider Number
335592
Provider Name
ST REGIS NURSING HOME INC
Provider Address
89 GROVE STREET
MASSENA, NY 13662
MASSENA, NY 13662
Provider Phone Number
(315) 769-2494
Provider SSA County
630
Provider County Name
St. Lawrence
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
159
Number of Residents in Certified Beds
157
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. REGIS NURSING HOME & HEALTH RELATED FACILITY, INC.
Date First Approved to Provide Medicare and Medicaid services
1977-04-01
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
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
2.37580
Reported LPN Staffing Hours per Resident per Day
0.71497
Reported RN Staffing Hours per Resident per Day
0.66592
Reported Licensed Staffing Hours per Resident per Day
1.38089
Reported Total Nurse Staffing Hours per Resident per Day
3.75669
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06911
Expected CNA Staffing Hours per Resident per Day
2.57483
Expected LPN Staffing Hours per Resident per Day
0.63702
Expected RN Staffing Hours per Resident per Day
0.93231
Expected Total Nurse Staffing Hours per Resident per Day
4.14416
Adjusted CNA Staffing Hours per Resident per Day
2.26404
Adjusted LPN Staffing Hours per Resident per Day
0.93156
Adjusted RN Staffing Hours per Resident per Day
0.53370
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65402
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
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
44
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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