Syracuse Home Association - Baldwinsville Nursing Home
General Information
UPDATEFederal Provider Number
335713
Provider Name
SYRACUSE HOME ASSOCIATION
Provider Address
7740 MEIGS ROAD
BALDWINSVILLE, NY 13027
BALDWINSVILLE, NY 13027
Provider Phone Number
3156382521
Provider SSA County
520
Provider County Name
Onondaga
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SYRACUSE HOME ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
1990-10-01
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
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.79703
Reported LPN Staffing Hours per Resident per Day
1.28898
Reported RN Staffing Hours per Resident per Day
0.45424
Reported Licensed Staffing Hours per Resident per Day
1.74322
Reported Total Nurse Staffing Hours per Resident per Day
4.54025
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18644
Expected CNA Staffing Hours per Resident per Day
2.67626
Expected LPN Staffing Hours per Resident per Day
0.67570
Expected RN Staffing Hours per Resident per Day
1.10972
Expected Total Nurse Staffing Hours per Resident per Day
4.46167
Adjusted CNA Staffing Hours per Resident per Day
2.56443
Adjusted LPN Staffing Hours per Resident per Day
1.58333
Adjusted RN Staffing Hours per Resident per Day
0.30585
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10189
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-07-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
16
Cycle 2 Standard Health Survey Date
2013-07-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
28.66700
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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Iroquois Nursing Home Inc
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