Brooklyn United Methodist Church Home - Brooklyn Nursing Home
General Information
UPDATEFederal Provider Number
335604
Provider Name
BROOKLYN UNITED METHODIST CHURCH HOME
Provider Address
1485 DUMONT AVENUE
BROOKLYN, NY 11208
BROOKLYN, NY 11208
Provider Phone Number
(718) 827-4500
Provider SSA County
331
Provider County Name
Kings
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROOKLYN UNITED METHODIST CHURCH HOME
Date First Approved to Provide Medicare and Medicaid services
1977-08-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.94397
Reported LPN Staffing Hours per Resident per Day
0.59871
Reported RN Staffing Hours per Resident per Day
0.43147
Reported Licensed Staffing Hours per Resident per Day
1.03017
Reported Total Nurse Staffing Hours per Resident per Day
2.97415
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04612
Expected CNA Staffing Hours per Resident per Day
2.48037
Expected LPN Staffing Hours per Resident per Day
0.63025
Expected RN Staffing Hours per Resident per Day
0.92505
Expected Total Nurse Staffing Hours per Resident per Day
4.03566
Adjusted CNA Staffing Hours per Resident per Day
1.92307
Adjusted LPN Staffing Hours per Resident per Day
0.78847
Adjusted RN Staffing Hours per Resident per Day
0.34851
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97064
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-03-31
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-03-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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