Fairview Nursing Care Ctr Inc - Forest Hills Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
335146
Provider Name
FAIRVIEW NURSING CARE CTR INC
Provider Address
69 70 GRAND CENTRAL PARKWAY
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
Provider Phone Number
(718) 263-4600
Provider SSA County
590
Provider County Name
Queens
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
188
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRVIEW NURSING CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1968-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
2.44202
Reported LPN Staffing Hours per Resident per Day
0.62394
Reported RN Staffing Hours per Resident per Day
0.88271
Reported Licensed Staffing Hours per Resident per Day
1.50665
Reported Total Nurse Staffing Hours per Resident per Day
3.94867
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12527
Expected CNA Staffing Hours per Resident per Day
2.59858
Expected LPN Staffing Hours per Resident per Day
0.74397
Expected RN Staffing Hours per Resident per Day
1.21288
Expected Total Nurse Staffing Hours per Resident per Day
4.55542
Adjusted CNA Staffing Hours per Resident per Day
2.30587
Adjusted LPN Staffing Hours per Resident per Day
0.69609
Adjusted RN Staffing Hours per Resident per Day
0.54380
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49401
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
2014-05-30
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
2013-05-03
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-04-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
4.00000
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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