St Lukes Home
1650 Champlin Avenue, Utica, NY 13504


St Lukes Home is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 335801. The address is 1650 Champlin Avenue, Utica, NY 13504. The zip code is 13504. The phone number is 3156248600.


St Lukes Home · 1650 Champlin Avenue, Utica, NY 13504

Federal Provider Number 335801
Provider Name ST LUKES HOME
Address 1650 CHAMPLIN AVENUE
UTICA, NY 13504
Phone Number 3156248600
SSA County Code 510
County Name Oneida
Ownership Type Non profit - Corporation
Certified Beds 202
Certified Beds Residents 198
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ST LUKE'S HOME RESIDENTIAL HEALTH CARE FACILITY INC
Date First Approved to Provide Medicare Medicaid Services 09/04/1996
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 2
Health Inspection Rating 2
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.24394
Reported LPN Staffing Hours per Resident per Day 1.02929
Reported RN Staffing Hours per Resident per Day 0.71263
Reported Licensed Staffing Hours per Resident per Day 1.74192
Reported Total Nurse Staffing Hours per Resident per Day 3.98586
Reported Physical Therapist Staffing Hours per Resident Per Day 0.12626
Expected CNA Staffing Hours per Resident per Day 2.66773
Expected LPN Staffing Hours per Resident per Day 0.73126
Expected RN Staffing Hours per Resident per Day 1.18483
Expected Total Nurse Staffing Hours per Resident per Day 4.58382
Adjusted CNA Staffing Hours per Resident per Day 2.06391
Adjusted LPN Staffing Hours per Resident per Day 1.16827
Adjusted RN Staffing Hours per Resident per Day 0.44941
Adjusted Total Nurse Staffing Hours per Resident per Day 3.50507
Cycle 1 Total Number of Health Deficiencies 12
Cycle 1 Number of Standard Health Deficiencies 10
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 60
Cycle 1 Standard Survey Health Date 03/31/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 60
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 04/17/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 09/12/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 38.667
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · St Lukes Home

Owner Name Role Association Date
AIELLO, DOMENIC (Individual) DIRECTOR since 09/20/2006
BOYLE, BRIAN (Individual) DIRECTOR since 03/04/2014
BULL, LAUREN (Individual) DIRECTOR since 04/01/2016
COMINSKY, CATHERINE (Individual) DIRECTOR since 03/04/2014
COMPSON, JOAN (Individual) DIRECTOR since 09/20/2006
DICKS, ROBERT (Individual) DIRECTOR since 03/04/2014
EVANS, GREGORY (Individual) DIRECTOR since 03/04/2014
FALATICO, BARARA (Individual) DIRECTOR since 03/04/2014
FLEISCHER, ROBERT (Individual) DIRECTOR since 03/04/2014
GESUALDO, MARIA (Individual) DIRECTOR since 03/04/2014
HUTTON, TODD (Individual) DIRECTOR since 03/04/2014
KOWALCZYK, ANDRE (Individual) DIRECTOR since 03/04/2014
MCLEAN, GREGORY (Individual) DIRECTOR since 03/04/2014
MOHAWK VALLEY HEALTH SYSTEM (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2000
PERRA, SCOTT (Individual) DIRECTOR since 01/01/2007
PERRA, SCOTT (Individual) MANAGING EMPLOYEE since 01/01/2007
SIEGEL, NORMAN (Individual) DIRECTOR since 03/04/2014
SWEE, STEPHEN (Individual) DIRECTOR since 03/04/2014
TANTILLO, RICHARD (Individual) DIRECTOR since 03/04/2014
TSOUPELIS, SYMEON (Individual) DIRECTOR since 03/04/2014
VENETTE, TRUDY (Individual) DIRECTOR since 05/23/2016
WOODS, BONNIE (Individual) DIRECTOR since 09/20/2006
ZWEIFEL, RICHARD (Individual) DIRECTOR since 02/01/2015

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