Dry Harbor Nursing Home - Middle Village Nursing Home
General Information
UPDATEFederal Provider Number
335416
Provider Name
DRY HARBOR NURSING HOME
Provider Address
61 35 DRY HARBOR ROAD
MIDDLE VILLAGE, NY 11379
MIDDLE VILLAGE, NY 11379
Provider Phone Number
(718) 565-4200
Provider SSA County
590
Provider County Name
Queens
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
360
Number of Residents in Certified Beds
356
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DRY HARBOR HRF INC
Date First Approved to Provide Medicare and Medicaid services
1974-06-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.17837
Reported LPN Staffing Hours per Resident per Day
0.49185
Reported RN Staffing Hours per Resident per Day
0.60098
Reported Licensed Staffing Hours per Resident per Day
1.09284
Reported Total Nurse Staffing Hours per Resident per Day
3.27120
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05716
Expected CNA Staffing Hours per Resident per Day
2.51477
Expected LPN Staffing Hours per Resident per Day
0.64605
Expected RN Staffing Hours per Resident per Day
1.07420
Expected Total Nurse Staffing Hours per Resident per Day
4.23502
Adjusted CNA Staffing Hours per Resident per Day
2.12547
Adjusted LPN Staffing Hours per Resident per Day
0.63189
Adjusted RN Staffing Hours per Resident per Day
0.41803
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11354
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
2015-01-23
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-31
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
1.33300
Number of Facility Reported Incidents
0
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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