Elant At Goshen Inc - Goshen Nursing Home
General Information
UPDATEFederal Provider Number
335684
Provider Name
ELANT AT GOSHEN INC
Provider Address
46 HARRIMAN DRIVE
GOSHEN, NY 10924
GOSHEN, NY 10924
Provider Phone Number
(845) 291-3700
Provider SSA County
540
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELANT AT GOSHEN, INC.
Date First Approved to Provide Medicare and Medicaid services
1985-09-18
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.27311
Reported LPN Staffing Hours per Resident per Day
1.00252
Reported RN Staffing Hours per Resident per Day
0.84244
Reported Licensed Staffing Hours per Resident per Day
1.84496
Reported Total Nurse Staffing Hours per Resident per Day
4.11807
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10126
Expected CNA Staffing Hours per Resident per Day
2.48216
Expected LPN Staffing Hours per Resident per Day
0.73096
Expected RN Staffing Hours per Resident per Day
1.27447
Expected Total Nurse Staffing Hours per Resident per Day
4.48759
Adjusted CNA Staffing Hours per Resident per Day
2.24705
Adjusted LPN Staffing Hours per Resident per Day
1.13836
Adjusted RN Staffing Hours per Resident per Day
0.49391
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69899
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
12
Cycle 1 Standard Survey Health Date
2014-10-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
2012-09-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
18.66700
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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