Carillon Nursing & Rehab Center - Huntington Nursing Home
General Information
UPDATEFederal Provider Number
335286
Provider Name
CARILLON NURSING & REHAB CENTER
Provider Address
830 PARK AVENUE
HUNTINGTON, NY 11743
HUNTINGTON, NY 11743
Provider Phone Number
(631) 271-5800
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
315
Number of Residents in Certified Beds
276
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARILLON NURSING AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1969-05-07
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
Partial
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.45254
Reported LPN Staffing Hours per Resident per Day
0.74475
Reported RN Staffing Hours per Resident per Day
0.72772
Reported Licensed Staffing Hours per Resident per Day
1.47246
Reported Total Nurse Staffing Hours per Resident per Day
3.92501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07174
Expected CNA Staffing Hours per Resident per Day
2.56458
Expected LPN Staffing Hours per Resident per Day
0.69092
Expected RN Staffing Hours per Resident per Day
1.27266
Expected Total Nurse Staffing Hours per Resident per Day
4.52815
Adjusted CNA Staffing Hours per Resident per Day
2.34651
Adjusted LPN Staffing Hours per Resident per Day
0.89467
Adjusted RN Staffing Hours per Resident per Day
0.42726
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49399
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-09-27
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
8
Cycle 3 Standard Health Survey Date
2012-09-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
8.00000
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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