Concord Nursing Home Inc - Brooklyn Nursing Home
General Information
UPDATEFederal Provider Number
335538
Provider Name
CONCORD NURSING HOME INC
Provider Address
300 MADISON STREET
BROOKLYN, NY 11216
BROOKLYN, NY 11216
Provider Phone Number
7186367500
Provider SSA County
331
Provider County Name
Kings
Ownership Type
Non profit - Church related
Number of Certified Beds
140
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONCORD NURSING AND REHABILITATION CENTER
Date First Approved to Provide Medicare and Medicaid services
1976-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.72143
Reported LPN Staffing Hours per Resident per Day
0.68348
Reported RN Staffing Hours per Resident per Day
0.48616
Reported Licensed Staffing Hours per Resident per Day
1.16964
Reported Total Nurse Staffing Hours per Resident per Day
2.89107
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05804
Expected CNA Staffing Hours per Resident per Day
2.43661
Expected LPN Staffing Hours per Resident per Day
0.76339
Expected RN Staffing Hours per Resident per Day
1.08698
Expected Total Nurse Staffing Hours per Resident per Day
4.28698
Adjusted CNA Staffing Hours per Resident per Day
1.73351
Adjusted LPN Staffing Hours per Resident per Day
0.74312
Adjusted RN Staffing Hours per Resident per Day
0.33419
Adjusted Total Nurse Staffing Hours per Resident per Day
2.71837
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
16
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
12
Cycle 2 Standard Health Survey Date
2013-12-13
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
12.00000
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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