Elmhurst Care Center Inc - East Elmhurst Nursing Home
General Information
UPDATEFederal Provider Number
335814
Provider Name
ELMHURST CARE CENTER INC
Provider Address
100 17 23RD AVENUE
EAST ELMHURST, NY 11369
EAST ELMHURST, NY 11369
Provider Phone Number
(718) 205-8100
Provider SSA County
590
Provider County Name
Queens
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
240
Number of Residents in Certified Beds
230
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELMHURST CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1999-04-20
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.28761
Reported LPN Staffing Hours per Resident per Day
0.33957
Reported RN Staffing Hours per Resident per Day
0.87326
Reported Licensed Staffing Hours per Resident per Day
1.21283
Reported Total Nurse Staffing Hours per Resident per Day
3.50044
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04348
Expected CNA Staffing Hours per Resident per Day
2.42192
Expected LPN Staffing Hours per Resident per Day
0.68490
Expected RN Staffing Hours per Resident per Day
1.11710
Expected Total Nurse Staffing Hours per Resident per Day
4.22392
Adjusted CNA Staffing Hours per Resident per Day
2.31763
Adjusted LPN Staffing Hours per Resident per Day
0.41151
Adjusted RN Staffing Hours per Resident per Day
0.58410
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34048
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-08-15
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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