Brookhaven Health Care Facility L L C - East Patchogue Nursing Home
General Information
UPDATEFederal Provider Number
335694
Provider Name
BROOKHAVEN HEALTH CARE FACILITY L L C
Provider Address
801 GAZZOLA BLVD
EAST PATCHOGUE, NY 11772
EAST PATCHOGUE, NY 11772
Provider Phone Number
(631) 447-8800
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
162
Number of Residents in Certified Beds
154
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROOKHAVEN HEALTH CARE FACILITY LLC
Date First Approved to Provide Medicare and Medicaid services
1988-04-27
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.12565
Reported LPN Staffing Hours per Resident per Day
0.78312
Reported RN Staffing Hours per Resident per Day
1.57727
Reported Licensed Staffing Hours per Resident per Day
2.36039
Reported Total Nurse Staffing Hours per Resident per Day
5.48604
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23799
Expected CNA Staffing Hours per Resident per Day
2.69328
Expected LPN Staffing Hours per Resident per Day
0.76119
Expected RN Staffing Hours per Resident per Day
1.43595
Expected Total Nurse Staffing Hours per Resident per Day
4.89042
Adjusted CNA Staffing Hours per Resident per Day
2.84761
Adjusted LPN Staffing Hours per Resident per Day
0.85391
Adjusted RN Staffing Hours per Resident per Day
0.82073
Adjusted Total Nurse Staffing Hours per Resident per Day
4.52183
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-01-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
2014-01-14
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.66700
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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