Central Island Healthcare - Plainview Nursing Home

General Information

UPDATE
Federal Provider Number
335284
Provider Name
CENTRAL ISLAND HEALTHCARE
Provider Address
825 OLD COUNTRY RD
PLAINVIEW, NY 11803
Provider Phone Number
5164330600
Provider SSA County
400
Provider County Name
Nassau
Ownership Type
For profit - Corporation
Number of Certified Beds
202
Number of Residents in Certified Beds
180
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OZONE ACQUISITION, LLC
Date First Approved to Provide Medicare and Medicaid services
1969-03-31
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
4
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
2.27917
Reported LPN Staffing Hours per Resident per Day
0.74139
Reported RN Staffing Hours per Resident per Day
0.81083
Reported Licensed Staffing Hours per Resident per Day
1.55222
Reported Total Nurse Staffing Hours per Resident per Day
3.83139
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11667
Expected CNA Staffing Hours per Resident per Day
2.42968
Expected LPN Staffing Hours per Resident per Day
0.67862
Expected RN Staffing Hours per Resident per Day
1.25815
Expected Total Nurse Staffing Hours per Resident per Day
4.36645
Adjusted CNA Staffing Hours per Resident per Day
2.30170
Adjusted LPN Staffing Hours per Resident per Day
0.90677
Adjusted RN Staffing Hours per Resident per Day
0.48154
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53696
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-12-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
8.00000
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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