Valley Health Services Inc - Herkimer Nursing Home
General Information
UPDATEFederal Provider Number
335672
Provider Name
VALLEY HEALTH SERVICES INC
Provider Address
690 WEST GERMAN STREET
HERKIMER, NY 13350
HERKIMER, NY 13350
Provider Phone Number
(315) 866-3330
Provider SSA County
320
Provider County Name
Herkimer
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
149
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VALLEY HEALTH SERVICES INC OUTPATIENT
Date First Approved to Provide Medicare and Medicaid services
1984-04-01
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
4
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
2.72685
Reported LPN Staffing Hours per Resident per Day
1.41443
Reported RN Staffing Hours per Resident per Day
0.61107
Reported Licensed Staffing Hours per Resident per Day
2.02550
Reported Total Nurse Staffing Hours per Resident per Day
4.75235
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09295
Expected CNA Staffing Hours per Resident per Day
2.46989
Expected LPN Staffing Hours per Resident per Day
0.66787
Expected RN Staffing Hours per Resident per Day
0.99684
Expected Total Nurse Staffing Hours per Resident per Day
4.13460
Adjusted CNA Staffing Hours per Resident per Day
2.70898
Adjusted LPN Staffing Hours per Resident per Day
1.75780
Adjusted RN Staffing Hours per Resident per Day
0.45804
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63316
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-03-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-12-20
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-10-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
1
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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