Berkshire Nursing And Rehab - West Babylon Nursing Home
General Information
UPDATEFederal Provider Number
335083
Provider Name
BERKSHIRE NURSING AND REHAB
Provider Address
10 BERKSHIRE ROAD
WEST BABYLON, NY 11704
WEST BABYLON, NY 11704
Provider Phone Number
(631) 587-0600
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
175
Number of Residents in Certified Beds
149
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BERKSHIRE NURSING HOME, LLC
Date First Approved to Provide Medicare and Medicaid services
1970-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
1.98993
Reported LPN Staffing Hours per Resident per Day
0.68221
Reported RN Staffing Hours per Resident per Day
0.56678
Reported Licensed Staffing Hours per Resident per Day
1.24899
Reported Total Nurse Staffing Hours per Resident per Day
3.23892
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07416
Expected CNA Staffing Hours per Resident per Day
2.43546
Expected LPN Staffing Hours per Resident per Day
0.66154
Expected RN Staffing Hours per Resident per Day
1.08255
Expected Total Nurse Staffing Hours per Resident per Day
4.17955
Adjusted CNA Staffing Hours per Resident per Day
2.00484
Adjusted LPN Staffing Hours per Resident per Day
0.85594
Adjusted RN Staffing Hours per Resident per Day
0.39120
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12373
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-07-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-07-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
26.00000
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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