Campbell Hall Rehab Center - Campbell Hall Nursing Home
General Information
UPDATEFederal Provider Number
335657
Provider Name
CAMPBELL HALL REHAB CENTER
Provider Address
23 KIERNAN RD
CAMPBELL HALL, NY 10916
CAMPBELL HALL, NY 10916
Provider Phone Number
(845) 294-8154
Provider SSA County
540
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAMPBELL HALL REHABILITATION CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1982-09-01
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
2
Health Inspection Rating Footnote
QM Rating
3
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
2.08558
Reported LPN Staffing Hours per Resident per Day
0.78846
Reported RN Staffing Hours per Resident per Day
0.62163
Reported Licensed Staffing Hours per Resident per Day
1.41010
Reported Total Nurse Staffing Hours per Resident per Day
3.49567
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12067
Expected CNA Staffing Hours per Resident per Day
2.59595
Expected LPN Staffing Hours per Resident per Day
0.71057
Expected RN Staffing Hours per Resident per Day
1.17101
Expected Total Nurse Staffing Hours per Resident per Day
4.47753
Adjusted CNA Staffing Hours per Resident per Day
1.97130
Adjusted LPN Staffing Hours per Resident per Day
0.92099
Adjusted RN Staffing Hours per Resident per Day
0.39665
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14698
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
24
Cycle 1 Standard Survey Health Date
2015-01-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
52
Cycle 2 Standard Health Survey Date
2014-04-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-08-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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