Wedgewood Nursing Home - Spencerport Nursing Home
General Information
UPDATEFederal Provider Number
335408
Provider Name
WEDGEWOOD NURSING HOME
Provider Address
5 CHURCH STREET
SPENCERPORT, NY 14559
SPENCERPORT, NY 14559
Provider Phone Number
(585) 352-4810
Provider SSA County
370
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
29
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WEDGEWOOD NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1974-01-01
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.55536
Reported LPN Staffing Hours per Resident per Day
0.82857
Reported RN Staffing Hours per Resident per Day
0.95357
Reported Licensed Staffing Hours per Resident per Day
1.78214
Reported Total Nurse Staffing Hours per Resident per Day
4.33750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18929
Expected CNA Staffing Hours per Resident per Day
2.64913
Expected LPN Staffing Hours per Resident per Day
0.60630
Expected RN Staffing Hours per Resident per Day
0.84848
Expected Total Nurse Staffing Hours per Resident per Day
4.10390
Adjusted CNA Staffing Hours per Resident per Day
2.36685
Adjusted LPN Staffing Hours per Resident per Day
1.13429
Adjusted RN Staffing Hours per Resident per Day
0.83975
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26035
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-07
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-04-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-06-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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