Fieldston Lodge Care Center - Riverdale Nursing Home

General Information

UPDATE
Federal Provider Number
335248
Provider Name
FIELDSTON LODGE CARE CENTER
Provider Address
666 KAPPOCK STREET
RIVERDALE, NY 10463
Provider Phone Number
(718) 549-1203
Provider SSA County
20
Provider County Name
Bronx
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
200
Number of Residents in Certified Beds
182
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIELDSTON LODGE CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1968-01-03
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.37363
Reported LPN Staffing Hours per Resident per Day
0.62170
Reported RN Staffing Hours per Resident per Day
0.35797
Reported Licensed Staffing Hours per Resident per Day
0.97967
Reported Total Nurse Staffing Hours per Resident per Day
3.35330
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03764
Expected CNA Staffing Hours per Resident per Day
2.57818
Expected LPN Staffing Hours per Resident per Day
0.82785
Expected RN Staffing Hours per Resident per Day
1.38754
Expected Total Nurse Staffing Hours per Resident per Day
4.79357
Adjusted CNA Staffing Hours per Resident per Day
2.25903
Adjusted LPN Staffing Hours per Resident per Day
0.62331
Adjusted RN Staffing Hours per Resident per Day
0.19277
Adjusted Total Nurse Staffing Hours per Resident per Day
2.81978
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
16
Cycle 1 Standard Survey Health Date
2014-04-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-03-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
4
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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