Bronx Lebanon Special Care Center - Bronx Nursing Home

General Information

UPDATE
Federal Provider Number
335753
Provider Name
BRONX LEBANON SPECIAL CARE CENTER
Provider Address
1265 FULTON AVENUE
BRONX, NY 10456
Provider Phone Number
7185797000
Provider SSA County
20
Provider County Name
Bronx
Ownership Type
Non profit - Corporation
Number of Certified Beds
240
Number of Residents in Certified Beds
227
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BRONX LEBANON SPECIAL CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1991-09-13
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
2.49692
Reported LPN Staffing Hours per Resident per Day
0.65617
Reported RN Staffing Hours per Resident per Day
0.66476
Reported Licensed Staffing Hours per Resident per Day
1.32093
Reported Total Nurse Staffing Hours per Resident per Day
3.81785
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02203
Expected CNA Staffing Hours per Resident per Day
2.08876
Expected LPN Staffing Hours per Resident per Day
0.61851
Expected RN Staffing Hours per Resident per Day
1.02241
Expected Total Nurse Staffing Hours per Resident per Day
3.72968
Adjusted CNA Staffing Hours per Resident per Day
2.93318
Adjusted LPN Staffing Hours per Resident per Day
0.88053
Adjusted RN Staffing Hours per Resident per Day
0.48582
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12619
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-10-31
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
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
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
6.00000
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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