Cobble Hill Health Center Inc - Brooklyn Nursing Home
General Information
UPDATEFederal Provider Number
335174
Provider Name
COBBLE HILL HEALTH CENTER INC
Provider Address
380 HENRY STREET
BROOKLYN, NY 11201
BROOKLYN, NY 11201
Provider Phone Number
(718) 855-6789
Provider SSA County
331
Provider County Name
Kings
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
364
Number of Residents in Certified Beds
361
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COBBLE HILL HEALTH CENTER INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
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
2.28864
Reported LPN Staffing Hours per Resident per Day
0.46967
Reported RN Staffing Hours per Resident per Day
0.61967
Reported Licensed Staffing Hours per Resident per Day
1.08934
Reported Total Nurse Staffing Hours per Resident per Day
3.37798
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04626
Expected CNA Staffing Hours per Resident per Day
2.56520
Expected LPN Staffing Hours per Resident per Day
0.75963
Expected RN Staffing Hours per Resident per Day
1.21311
Expected Total Nurse Staffing Hours per Resident per Day
4.53794
Adjusted CNA Staffing Hours per Resident per Day
2.18916
Adjusted LPN Staffing Hours per Resident per Day
0.51318
Adjusted RN Staffing Hours per Resident per Day
0.38168
Adjusted Total Nurse Staffing Hours per Resident per Day
3.00055
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-03-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-03-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
8.66700
Number of Facility Reported Incidents
3
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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