Woodside Manor Nursing Home - Rochester Nursing Home
General Information
UPDATEFederal Provider Number
335366
Provider Name
WOODSIDE MANOR NURSING HOME
Provider Address
2425 CLINTON AVENUE SOUTH
ROCHESTER, NY 14618
ROCHESTER, NY 14618
Provider Phone Number
(585) 461-0370
Provider SSA County
370
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODSIDE MANOR NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1976-11-01
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
4
Health Inspection Rating Footnote
QM Rating
4
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
2.41053
Reported LPN Staffing Hours per Resident per Day
0.83289
Reported RN Staffing Hours per Resident per Day
0.77763
Reported Licensed Staffing Hours per Resident per Day
1.61053
Reported Total Nurse Staffing Hours per Resident per Day
4.02105
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16447
Expected CNA Staffing Hours per Resident per Day
2.56202
Expected LPN Staffing Hours per Resident per Day
0.67776
Expected RN Staffing Hours per Resident per Day
1.28318
Expected Total Nurse Staffing Hours per Resident per Day
4.52296
Adjusted CNA Staffing Hours per Resident per Day
2.30861
Adjusted LPN Staffing Hours per Resident per Day
1.01998
Adjusted RN Staffing Hours per Resident per Day
0.45282
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58359
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
20
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-04-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
13.33300
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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