Broadlawn Manor Nursing & Rehab Ctr - Amityville Nursing Home
General Information
UPDATEFederal Provider Number
335213
Provider Name
BROADLAWN MANOR NURSING & REHAB CTR
Provider Address
399 COUNTY LINE RD
AMITYVILLE, NY 11701
AMITYVILLE, NY 11701
Provider Phone Number
(631) 264-0222
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
320
Number of Residents in Certified Beds
304
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
THE LONG ISLAND HOME
Date First Approved to Provide Medicare and Medicaid services
1967-04-01
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
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.45329
Reported LPN Staffing Hours per Resident per Day
0.45543
Reported RN Staffing Hours per Resident per Day
0.91595
Reported Licensed Staffing Hours per Resident per Day
1.37138
Reported Total Nurse Staffing Hours per Resident per Day
3.82467
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05592
Expected CNA Staffing Hours per Resident per Day
2.60856
Expected LPN Staffing Hours per Resident per Day
0.67406
Expected RN Staffing Hours per Resident per Day
1.07780
Expected Total Nurse Staffing Hours per Resident per Day
4.36042
Adjusted CNA Staffing Hours per Resident per Day
2.30764
Adjusted LPN Staffing Hours per Resident per Day
0.56079
Adjusted RN Staffing Hours per Resident per Day
0.63500
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53564
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
449
Cycle 2 Standard Health Survey Date
2013-10-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
449
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
160.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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