Wedgewood Nursing Home
5 Church Street, Spencerport, NY 14559


Wedgewood Nursing Home is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 335408. The address is 5 Church Street, Spencerport, NY 14559. The zip code is 14559. The phone number is 5853524810.


Wedgewood Nursing Home · 5 Church Street, Spencerport, NY 14559

Federal Provider Number 335408
Provider Name WEDGEWOOD NURSING HOME
Address 5 CHURCH STREET
SPENCERPORT, NY 14559
Phone Number 5853524810
SSA County Code 370
County Name Monroe
Ownership Type For profit - Corporation
Certified Beds 29
Certified Beds Residents 28
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name WEDGEWOOD NURSING HOME INC
Date First Approved to Provide Medicare Medicaid Services 01/01/1974
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 1
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 1.125
Reported LPN Staffing Hours per Resident per Day 0.24286
Reported RN Staffing Hours per Resident per Day 0.44821
Reported Licensed Staffing Hours per Resident per Day 0.69107
Reported Total Nurse Staffing Hours per Resident per Day 1.81607
Reported Physical Therapist Staffing Hours per Resident Per Day 0.08393
Expected CNA Staffing Hours per Resident per Day 2.55167
Expected LPN Staffing Hours per Resident per Day 0.65275
Expected RN Staffing Hours per Resident per Day 1.02919
Expected Total Nurse Staffing Hours per Resident per Day 4.23361
Adjusted CNA Staffing Hours per Resident per Day 1.08181
Adjusted LPN Staffing Hours per Resident per Day 0.30881
Adjusted RN Staffing Hours per Resident per Day 0.3254
Adjusted Total Nurse Staffing Hours per Resident per Day 1.72912
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 09/12/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 8
Cycle 2 Standard Health Survey Date 09/03/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 8
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Health Deficiency Score 32
Cycle 3 Standard Health Survey Date 08/07/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 32
Total Weighted Health Survey Score 16
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Wedgewood Nursing Home

Owner Name Role Association Date
HAMLIN, KATHLEEN (Individual) MANAGING EMPLOYEE since 09/08/2014
HURLBUT, ROBERT (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 11/10/2011
JAY B BIRNBAUM (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 01/24/2017
REED, BRIDGETT (Individual) OPERATIONAL/MANAGERIAL CONTROL since 04/02/2012
ROHM SERVICES CORP (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/07/2011

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