Avalon Gardens Rehabilitation & Health Care Center - Smithtown Nursing Home
General Information
UPDATEFederal Provider Number
335175
Provider Name
AVALON GARDENS REHABILITATION & HEALTH CARE CENTER
Provider Address
7 ROUTE 25A
SMITHTOWN, NY 11787
SMITHTOWN, NY 11787
Provider Phone Number
(631) 724-2200
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
353
Number of Residents in Certified Beds
342
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON GARDENS REHAB AND HEALTH CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1978-06-12
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
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.30205
Reported LPN Staffing Hours per Resident per Day
0.46959
Reported RN Staffing Hours per Resident per Day
0.35702
Reported Licensed Staffing Hours per Resident per Day
0.82661
Reported Total Nurse Staffing Hours per Resident per Day
3.12866
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05117
Expected CNA Staffing Hours per Resident per Day
2.23424
Expected LPN Staffing Hours per Resident per Day
0.67702
Expected RN Staffing Hours per Resident per Day
1.21364
Expected Total Nurse Staffing Hours per Resident per Day
4.12490
Adjusted CNA Staffing Hours per Resident per Day
2.52817
Adjusted LPN Staffing Hours per Resident per Day
0.57570
Adjusted RN Staffing Hours per Resident per Day
0.21981
Adjusted Total Nurse Staffing Hours per Resident per Day
3.05737
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-05-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
1349
Cycle 2 Standard Health Survey Date
2013-05-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
1349
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-05-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
493.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
19370
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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