New York Nursing Homes >> Williamsville Nursing Homes >> Williamsville Suburban L L C

Williamsville Suburban L L C - Williamsville Nursing Home

General Information

UPDATE
Federal Provider Number
335647
Provider Name
WILLIAMSVILLE SUBURBAN L L C
Provider Address
163 SOUTH UNION ROAD
WILLIAMSVILLE, NY 14221
Provider Phone Number
(716) 632-6152
Provider SSA County
240
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
220
Number of Residents in Certified Beds
173
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLIAMSVILLE SUBURBAN, LLC
Date First Approved to Provide Medicare and Medicaid services
1981-11-04
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
0
Staffing Rating Footnote
Data Not Available
RN Staffing Rating
0
RN Staffing Rating Footnote
Data Not Available
Reported Staffing Footnote
Staffing Values not Reported because of Data Quality Concerns
Physical Therapist Staffing Footnote
Physical Therapy Staffing Values not Reported because of Data Quality Concerns
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.00000
Reported Licensed Staffing Hours per Resident per Day
0.00000
Reported Total Nurse Staffing Hours per Resident per Day
0.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.31765
Expected LPN Staffing Hours per Resident per Day
0.64301
Expected RN Staffing Hours per Resident per Day
1.10481
Expected Total Nurse Staffing Hours per Resident per Day
4.06546
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2015-02-18
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
54
Cycle 1 Total Health Score
162
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
107.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
5
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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