Crown Park Rehabilitation and Nursing Center
28 Kellogg Road, Cortland, NY 13045


Crown Park Rehabilitation and Nursing Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 335392. The address is 28 Kellogg Road, Cortland, NY 13045. The zip code is 13045. The phone number is 6077539631.


Crown Park Rehabilitation and Nursing Center · 28 Kellogg Road, Cortland, NY 13045

Federal Provider Number 335392
Provider Name CROWN PARK REHABILITATION AND NURSING CENTER
Address 28 KELLOGG ROAD
CORTLAND, NY 13045
Phone Number 6077539631
SSA County Code 210
County Name Cortland
Ownership Type For profit - Individual
Certified Beds 200
Certified Beds Residents 186
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CCRNC LLC
Date First Approved to Provide Medicare Medicaid Services 02/21/1973
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months true
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 4
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 0.46075
Reported LPN Staffing Hours per Resident per Day 0.57043
Reported RN Staffing Hours per Resident per Day 0.54167
Reported Licensed Staffing Hours per Resident per Day 1.1121
Reported Total Nurse Staffing Hours per Resident per Day 1.57285
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06156
Expected CNA Staffing Hours per Resident per Day 2.15789
Expected LPN Staffing Hours per Resident per Day 0.63662
Expected RN Staffing Hours per Resident per Day 1.0415
Expected Total Nurse Staffing Hours per Resident per Day 3.83602
Adjusted CNA Staffing Hours per Resident per Day 0.52391
Adjusted LPN Staffing Hours per Resident per Day 0.7437
Adjusted RN Staffing Hours per Resident per Day 0.38861
Adjusted Total Nurse Staffing Hours per Resident per Day 1.65275
Cycle 1 Total Number of Health Deficiencies 9
Cycle 1 Number of Standard Health Deficiencies 9
Cycle 1 Health Deficiency Score 52
Cycle 1 Standard Survey Health Date 05/10/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 52
Cycle 2 Total Number of Health Deficiencies 13
Cycle 2 Number of Standard Health Deficiencies 13
Cycle 2 Health Deficiency Score 68
Cycle 2 Standard Health Survey Date 01/28/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 68
Cycle 3 Total Number of Health Deficiencies 18
Cycle 3 Number of Standard Health Deficiencies 18
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 84
Cycle 3 Standard Health Survey Date 04/10/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 84
Total Weighted Health Survey Score 62.667
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Crown Park Rehabilitation and Nursing Center

Owner Name Role Association Date
AUGENSTEIN, JACK (Individual) OFFICER since 10/24/2016
DEPTULA, PATRICK (Individual) MANAGING EMPLOYEE since 08/19/2016
KOENIG, URI (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
60%
since 02/12/2015
STEIF, EFRAIM (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
40%
since 02/12/2015

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