Wellsville Manor Care Center - Wellsville Nursing Home
General Information
UPDATEFederal Provider Number
335661
Provider Name
WELLSVILLE MANOR CARE CENTER
Provider Address
4192A BOLIVAR ROAD
WELLSVILLE, NY 14895
WELLSVILLE, NY 14895
Provider Phone Number
(585) 593-4400
Provider SSA County
10
Provider County Name
Allegany
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WELLSVILLE MANOR CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1983-02-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.95862
Reported LPN Staffing Hours per Resident per Day
0.67500
Reported RN Staffing Hours per Resident per Day
0.57029
Reported Licensed Staffing Hours per Resident per Day
1.24529
Reported Total Nurse Staffing Hours per Resident per Day
4.20391
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05905
Expected CNA Staffing Hours per Resident per Day
2.54872
Expected LPN Staffing Hours per Resident per Day
0.67393
Expected RN Staffing Hours per Resident per Day
1.11031
Expected Total Nurse Staffing Hours per Resident per Day
4.33296
Adjusted CNA Staffing Hours per Resident per Day
2.84832
Adjusted LPN Staffing Hours per Resident per Day
0.83132
Adjusted RN Staffing Hours per Resident per Day
0.38378
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91084
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
17.33300
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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