The Cottages At Garden Grove, A S N Community - Cicero Nursing Home
General Information
UPDATEFederal Provider Number
335340
Provider Name
THE COTTAGES AT GARDEN GROVE, A S N COMMUNITY
Provider Address
5460 MELTZER COURT
CICERO, NY 13039
CICERO, NY 13039
Provider Phone Number
3156991619
Provider SSA County
520
Provider County Name
Onondaga
Ownership Type
Non profit - Corporation
Number of Certified Beds
242
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLAZA NURSING HOME COMPANY INC.
Date First Approved to Provide Medicare and Medicaid services
1971-12-01
Continuing Care Retirement Community
N
Special Focus Facility
Y
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Partial
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
5.09252
Reported LPN Staffing Hours per Resident per Day
0.79720
Reported RN Staffing Hours per Resident per Day
0.58738
Reported Licensed Staffing Hours per Resident per Day
1.38458
Reported Total Nurse Staffing Hours per Resident per Day
6.47710
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05327
Expected CNA Staffing Hours per Resident per Day
2.46459
Expected LPN Staffing Hours per Resident per Day
0.69729
Expected RN Staffing Hours per Resident per Day
1.21653
Expected Total Nurse Staffing Hours per Resident per Day
4.37841
Adjusted CNA Staffing Hours per Resident per Day
5.07002
Adjusted LPN Staffing Hours per Resident per Day
0.94893
Adjusted RN Staffing Hours per Resident per Day
0.36077
Adjusted Total Nurse Staffing Hours per Resident per Day
5.96302
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
20
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
421
Cycle 2 Standard Health Survey Date
2014-07-02
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
22
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
269
Cycle 3 Standard Health Survey Date
2014-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
269
Total Weighted Health Survey Score
215.16700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
13
Number of Fines
4
Total Amount of Fines in Dollars
22500
Number of Payment Denials
2
Total Number of Penalties
6
Location
Processing Date
2015-06-01
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