Provider Name: UPSTATE UNIVERSITY HOSP AT COMMUNITY GENERAL T C U
Address: 4900 BROAD ROAD, SYRACUSE, NY 13215
Phone: (315) 492-5786
County: Onondaga (520)
Ownership Type: Government - State
Certified Beds: 20
Average Residents Per Day: 13.1 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: SUNY HEALTH SCIENCE CENTER AT SYRACUSE
First Approved Date: July 24, 2014
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: None
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 4 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 0.00000, LPN Staff Hours Per Day: 2.3898, RN Staff Hours Per Day: 6.0655, Licensed Staff Hours Per Day: 8.4554
Total Nurse Staff Hours Per Day, per resident: 8.45545
Weekend Nurse Staff Hours: 8.17775, Weekend RN Staff Hours: 5.9089
PT Staff Hours Per Day, per resident: 0.4969
Nurse Staff Turnover: 42.9, Nurse Turnover Note:
RN Turnover: 41.2, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0443, Case Mix LPN Hours Per Day: 0.9444, Case Mix RN Hours Per Day: 0.5047
Adjusted Nurse Aide Hours Per Day, per resident: 0.00000, Adjusted LPN Hours Per Day: 1.8674, Adjusted RN Hours Per Day: 4.5278
Total Adjusted Nurse Hours Per Day, per resident: 7.62886
Adjusted Weekend Nurse Hours Per Day, per resident: 7.37830
Health Survey Dates and Scores: Cycle 1: 2021-12-29 (Score: 4), Cycle 2: 2019-10-17 (Score: 8), Cycle 3: 2018-09-26 (Score: 0)
Total Weighted Health Score: 4.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 2937.86, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 4900 BROAD ROAD,SYRACUSE,NY,13215 (43.0079, -76.170)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-18
Type: Health, Deficiency: PASARR screening for Mental disorders or Intellectual Disabilities
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-11-04
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-11-11
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0531, Version: New
Description: Have elevators that firefighters can control in the event of a fire.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-24
Type: Fire Safety, Tag: 0901, Version: New
Description: Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-14
Type: Fire Safety, Tag: 0916, Version: New
Description: Have a battery powered remote alarm panel in a location accessible by operating personnel.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-24
Type: Fire Safety, Tag: 0133, Version: New
Description: Install a two-hour-resistant firewall separation.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-17
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-17
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-11-20
Type: Fire Safety, Tag: 0345, Version: New
Description: Have approved installation, maintenance and testing program for fire alarm systems.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-10-13
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-10-30