Susquehanna Nursing And Rehab Center L L C - Johnson City Nursing Home
General Information
UPDATEFederal Provider Number
335393
Provider Name
SUSQUEHANNA NURSING AND REHAB CENTER L L C
Provider Address
282 RIVERSIDE DR
JOHNSON CITY, NY 13790
JOHNSON CITY, NY 13790
Provider Phone Number
(607) 729-9206
Provider SSA County
30
Provider County Name
Broome
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
152
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUSQUEHANNA NURSING & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1973-03-05
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
4
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
2.36546
Reported LPN Staffing Hours per Resident per Day
1.09441
Reported RN Staffing Hours per Resident per Day
0.55428
Reported Licensed Staffing Hours per Resident per Day
1.64868
Reported Total Nurse Staffing Hours per Resident per Day
4.01415
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09112
Expected CNA Staffing Hours per Resident per Day
2.47565
Expected LPN Staffing Hours per Resident per Day
0.62476
Expected RN Staffing Hours per Resident per Day
1.03744
Expected Total Nurse Staffing Hours per Resident per Day
4.13785
Adjusted CNA Staffing Hours per Resident per Day
2.34449
Adjusted LPN Staffing Hours per Resident per Day
1.45393
Adjusted RN Staffing Hours per Resident per Day
0.39921
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91040
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-10-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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