LEROY VILLAGE GREEN RESIDENTIAL HEALTH CARE FACILITY INC

The information listed below provides an in-depth look into the type and quality of care offered at Leroy Village Green Residential Health Care Facility Inc. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

LEROY VILLAGE GREEN RESIDENTIAL HEALTH CARE FACILITY INC
10 MUNSON STREET
LEROY, NY 14482
(585) 768-2561

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 123
  • Certified Beds: 140

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Batavia | Avon | Warsaw

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Leroy Village Green Residential Health Care Facility Inc. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1625.5%
ADL Index Range: 6-1019.5%
ADL Index Range: 0-50.8%
Total Percent:45.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1617.2%
ADL Index Range: 6-1021.2%
ADL Index Range: 0-50.6%
Total Percent:39.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-100.5%
Total Percent:0.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.8%
ADL Index Range: 0-51.6%
Total Percent:4.4%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
3.5%
Total Percent:3.5%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.7%
Total Percent:0.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 15-16
- No Signs of depression
1.9%
ADL Index Range: 11-14
- No Signs of depression
1.0%
ADL Index Range: 6-10
- No Signs of depression
3.1%
Total Percent:6.1%
 

Rating Details For Leroy Village Green Residential Health Care Facility Inc

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours32 Minutes1 Hour and 3 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 9 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 40 Minutes2 Hours and 29 Minutes
Total Licensed Nurse Hours1 Hour and 41 Minutes1 Hour and 41 Minutes
Total Nurse Hours4 Hours and 21 Minutes4 Hours and 10 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for New York are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNew York Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season26%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious15%14%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased19%14%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%13%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%8%
Percent of Long-Stay Residents Who Lose Too Much Weight3%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder48%53%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%13%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%87%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season73%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium6%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain36%16%
Percent of Short-Stay Residents Who Have Pressure Sores19%15%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/25/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/31/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/25/2011
  • Correction Date: 03/28/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/25/2011
  • Correction Date: 03/25/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 01/15/2009
  • Correction Date: 02/28/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 01/15/2009
  • Correction Date: 02/28/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/31/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Leroy Village Green Residential Health Care Facility Inc, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 04/29/2009
  • Correction Date: 01/01/1900

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 01/15/2009
  • Correction Date: 02/28/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 04/29/2009
  • Correction Date: 01/01/1900
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 04/29/2009
  • Correction Date: 01/01/1900
Give or Get Dental Care for Each Resident.
  • Complaint Filed: 04/29/2009
  • Correction Date: 01/01/1900

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 07/11/2008
  • Correction Date: 08/08/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Leroy Village Green Residential Health Care Facility Inc had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/25/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 02/19/2010
  • Correction Date: 01/01/1900
Approved Construction Type or Materials.
  • Inspection Date: 02/25/2011
  • Correction Date: 01/01/1900

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 02/19/2010
  • Correction Date: 01/01/1900
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 02/25/2011
  • Correction Date: 01/01/1900

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 02/19/2010
  • Correction Date: 03/31/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 01/15/2009
  • Correction Date: 02/10/2009
Source: Medicare Nursing Home Compare; New York State Department of Health - Retrieved 2011