The Wartburg Home - Mount Vernon Nursing Home
General Information
UPDATEFederal Provider Number
335269
Provider Name
THE WARTBURG HOME
Provider Address
BRADLEY AVENUE
MOUNT VERNON, NY 10552
MOUNT VERNON, NY 10552
Provider Phone Number
9146990800
Provider SSA County
800
Provider County Name
Westchester
Ownership Type
Non profit - Corporation
Number of Certified Beds
240
Number of Residents in Certified Beds
201
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH
Date First Approved to Provide Medicare and Medicaid services
1968-06-07
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
2.12537
Reported LPN Staffing Hours per Resident per Day
0.63507
Reported RN Staffing Hours per Resident per Day
0.45846
Reported Licensed Staffing Hours per Resident per Day
1.09353
Reported Total Nurse Staffing Hours per Resident per Day
3.21890
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14055
Expected CNA Staffing Hours per Resident per Day
2.56469
Expected LPN Staffing Hours per Resident per Day
0.66952
Expected RN Staffing Hours per Resident per Day
1.11629
Expected Total Nurse Staffing Hours per Resident per Day
4.35050
Adjusted CNA Staffing Hours per Resident per Day
2.03339
Adjusted LPN Staffing Hours per Resident per Day
0.78730
Adjusted RN Staffing Hours per Resident per Day
0.30687
Adjusted Total Nurse Staffing Hours per Resident per Day
2.98243
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
2014-09-30
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
12
Cycle 2 Standard Health Survey Date
2013-08-15
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
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
4
Total Weighted Health Survey Score
4.66700
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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