Carmel Richmond Healthcare And Rehab Center - Staten Island Nursing Home
General Information
UPDATEFederal Provider Number
335455
Provider Name
CARMEL RICHMOND HEALTHCARE AND REHAB CENTER
Provider Address
88 OLD TOWN ROAD
STATEN ISLAND, NY 10304
STATEN ISLAND, NY 10304
Provider Phone Number
(718) 979-5000
Provider SSA County
610
Provider County Name
Richmond
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
300
Number of Residents in Certified Beds
285
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARMEL RICHMOND NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1976-01-01
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
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
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
2.40088
Reported LPN Staffing Hours per Resident per Day
0.58088
Reported RN Staffing Hours per Resident per Day
0.68544
Reported Licensed Staffing Hours per Resident per Day
1.26632
Reported Total Nurse Staffing Hours per Resident per Day
3.66720
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07614
Expected CNA Staffing Hours per Resident per Day
2.62788
Expected LPN Staffing Hours per Resident per Day
0.72627
Expected RN Staffing Hours per Resident per Day
1.16473
Expected Total Nurse Staffing Hours per Resident per Day
4.51888
Adjusted CNA Staffing Hours per Resident per Day
2.24175
Adjusted LPN Staffing Hours per Resident per Day
0.66384
Adjusted RN Staffing Hours per Resident per Day
0.43973
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27119
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-29
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
24
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
6
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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