Livingston Hills Nursing & Rehabilitation Ctr - Livingston Nursing Home
General Information
UPDATEFederal Provider Number
335389
Provider Name
LIVINGSTON HILLS NURSING & REHABILITATION CTR
Provider Address
2781 ROUTE 9 , P O BOX 95
LIVINGSTON, NY 12541
LIVINGSTON, NY 12541
Provider Phone Number
5188513041
Provider SSA County
200
Provider County Name
Columbia
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIVINGSTON S AND V OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1973-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35377
Reported LPN Staffing Hours per Resident per Day
1.23019
Reported RN Staffing Hours per Resident per Day
0.84340
Reported Licensed Staffing Hours per Resident per Day
2.07358
Reported Total Nurse Staffing Hours per Resident per Day
4.42736
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05047
Expected CNA Staffing Hours per Resident per Day
2.40513
Expected LPN Staffing Hours per Resident per Day
0.65055
Expected RN Staffing Hours per Resident per Day
1.15216
Expected Total Nurse Staffing Hours per Resident per Day
4.20784
Adjusted CNA Staffing Hours per Resident per Day
2.40130
Adjusted LPN Staffing Hours per Resident per Day
1.56952
Adjusted RN Staffing Hours per Resident per Day
0.54696
Adjusted Total Nurse Staffing Hours per Resident per Day
4.24119
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-05-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
13
Cycle 2 Health Deficiency Score
566
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-07-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
222.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
15
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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