A Holly Patterson Extended Care Facility - Uniondale Nursing Home
General Information
UPDATEFederal Provider Number
335023
Provider Name
A HOLLY PATTERSON EXTENDED CARE FACILITY
Provider Address
875 JERUSALEM AVENUE
UNIONDALE, NY 11553
UNIONDALE, NY 11553
Provider Phone Number
(516) 572-1400
Provider SSA County
400
Provider County Name
Nassau
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
589
Number of Residents in Certified Beds
545
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Partial
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.18651
Reported LPN Staffing Hours per Resident per Day
0.75661
Reported RN Staffing Hours per Resident per Day
0.57798
Reported Licensed Staffing Hours per Resident per Day
1.33459
Reported Total Nurse Staffing Hours per Resident per Day
3.52110
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02101
Expected CNA Staffing Hours per Resident per Day
2.34041
Expected LPN Staffing Hours per Resident per Day
0.66794
Expected RN Staffing Hours per Resident per Day
0.96759
Expected Total Nurse Staffing Hours per Resident per Day
3.97594
Adjusted CNA Staffing Hours per Resident per Day
2.29235
Adjusted LPN Staffing Hours per Resident per Day
0.94019
Adjusted RN Staffing Hours per Resident per Day
0.44633
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56977
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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