Van Rensselaer Manor - Troy Nursing Home
General Information
UPDATEFederal Provider Number
335265
Provider Name
VAN RENSSELAER MANOR
Provider Address
85 BLOOMINGROVE DRIVE
TROY, NY 12180
TROY, NY 12180
Provider Phone Number
(518) 283-2000
Provider SSA County
600
Provider County Name
Rensselaer
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
362
Number of Residents in Certified Beds
337
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RENSSELAER COUNTY BUREAU OF FINANCE
Date First Approved to Provide Medicare and Medicaid services
1968-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.51914
Reported LPN Staffing Hours per Resident per Day
1.16068
Reported RN Staffing Hours per Resident per Day
0.60059
Reported Licensed Staffing Hours per Resident per Day
1.76128
Reported Total Nurse Staffing Hours per Resident per Day
4.28041
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05623
Expected CNA Staffing Hours per Resident per Day
2.41398
Expected LPN Staffing Hours per Resident per Day
0.60570
Expected RN Staffing Hours per Resident per Day
1.05488
Expected Total Nurse Staffing Hours per Resident per Day
4.07457
Adjusted CNA Staffing Hours per Resident per Day
2.56059
Adjusted LPN Staffing Hours per Resident per Day
1.59049
Adjusted RN Staffing Hours per Resident per Day
0.42541
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23454
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-01-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
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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