Daughters Of Jacob Nursing Home Co, Inc - Bronx Nursing Home
General Information
UPDATEFederal Provider Number
335445
Provider Name
DAUGHTERS OF JACOB NURSING HOME CO, INC
Provider Address
1160 TELLER AVE
BRONX, NY 10456
BRONX, NY 10456
Provider Phone Number
7182931500
Provider SSA County
20
Provider County Name
Bronx
Ownership Type
For profit - Individual
Number of Certified Beds
515
Number of Residents in Certified Beds
372
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DOJ OPERATIONS ASSOCIATES LLC
Date First Approved to Provide Medicare and Medicaid services
1976-03-01
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
Partial
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.08051
Reported LPN Staffing Hours per Resident per Day
1.17204
Reported RN Staffing Hours per Resident per Day
0.91371
Reported Licensed Staffing Hours per Resident per Day
2.08575
Reported Total Nurse Staffing Hours per Resident per Day
5.16626
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15296
Expected CNA Staffing Hours per Resident per Day
2.34042
Expected LPN Staffing Hours per Resident per Day
0.70533
Expected RN Staffing Hours per Resident per Day
1.13191
Expected Total Nurse Staffing Hours per Resident per Day
4.17766
Adjusted CNA Staffing Hours per Resident per Day
3.22961
Adjusted LPN Staffing Hours per Resident per Day
1.37920
Adjusted RN Staffing Hours per Resident per Day
0.60316
Adjusted Total Nurse Staffing Hours per Resident per Day
4.98477
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
2014-05-06
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-18
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
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
12
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
1
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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