T L C Health Network Lake Shore Hosp Nursing Fac - Irving Nursing Home

General Information

UPDATE
Federal Provider Number
335745
Provider Name
T L C HEALTH NETWORK LAKE SHORE HOSP NURSING FAC
Provider Address
845 ROUTES 5 AND 20
IRVING, NY 14081
Provider Phone Number
7169517200
Provider SSA County
60
Provider County Name
Chautauqua
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
12
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
TLC HEALTH NETWORK
Date First Approved to Provide Medicare and Medicaid services
1992-02-05
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
Partial

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
3.60000
Reported LPN Staffing Hours per Resident per Day
1.46250
Reported RN Staffing Hours per Resident per Day
0.78333
Reported Licensed Staffing Hours per Resident per Day
2.24583
Reported Total Nurse Staffing Hours per Resident per Day
5.84583
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23750
Expected CNA Staffing Hours per Resident per Day
2.72522
Expected LPN Staffing Hours per Resident per Day
0.79833
Expected RN Staffing Hours per Resident per Day
1.41876
Expected Total Nurse Staffing Hours per Resident per Day
4.94230
Adjusted CNA Staffing Hours per Resident per Day
3.24133
Adjusted LPN Staffing Hours per Resident per Day
1.52052
Adjusted RN Staffing Hours per Resident per Day
0.41255
Adjusted Total Nurse Staffing Hours per Resident per Day
4.76781
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-18
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-04-11
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
13.33300
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

Nursiong Homes Nearby

Absolut Ctr For Nursing & Rehab Dunkirk L L C

447 449 Lake Shore Drive West | DUNKIRK NY 14048 | 13 miles away

Chautauqua County Home

10836 Temple Road | DUNKIRK NY 14048 | 13.4 miles away

Absolut Ctr For Nursing & Rehab Westfield L L C

26 Cass Street | WESTFIELD NY 14787 | 27.8 miles away

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