Wells Nursing Home Inc - Johnstown Nursing Home
General Information
UPDATEFederal Provider Number
335314
Provider Name
WELLS NURSING HOME INC
Provider Address
201 W MADISON AVENUE
JOHNSTOWN, NY 12095
JOHNSTOWN, NY 12095
Provider Phone Number
(518) 762-4546
Provider SSA County
280
Provider County Name
Fulton
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WELLS NURSING HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1971-01-05
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.42895
Reported LPN Staffing Hours per Resident per Day
0.96105
Reported RN Staffing Hours per Resident per Day
0.56053
Reported Licensed Staffing Hours per Resident per Day
1.52158
Reported Total Nurse Staffing Hours per Resident per Day
3.95053
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11632
Expected CNA Staffing Hours per Resident per Day
2.62291
Expected LPN Staffing Hours per Resident per Day
0.68936
Expected RN Staffing Hours per Resident per Day
1.02844
Expected Total Nurse Staffing Hours per Resident per Day
4.34071
Adjusted CNA Staffing Hours per Resident per Day
2.27225
Adjusted LPN Staffing Hours per Resident per Day
1.15713
Adjusted RN Staffing Hours per Resident per Day
0.40725
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66857
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-07-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
2
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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