Forest Hills Care Center - Forest Hills Nursing Home

General Information

UPDATE
Federal Provider Number
335139
Provider Name
FOREST HILLS CARE CENTER
Provider Address
71 44 YELLOWSTONE BLVD
FOREST HILLS, NY 11375
Provider Phone Number
(718) 544-4300
Provider SSA County
590
Provider County Name
Queens
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOREST HILLS CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1968-11-18
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
Partial

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
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
2.21824
Reported LPN Staffing Hours per Resident per Day
0.59471
Reported RN Staffing Hours per Resident per Day
0.44471
Reported Licensed Staffing Hours per Resident per Day
1.03941
Reported Total Nurse Staffing Hours per Resident per Day
3.25766
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06706
Expected CNA Staffing Hours per Resident per Day
2.38482
Expected LPN Staffing Hours per Resident per Day
0.68259
Expected RN Staffing Hours per Resident per Day
1.39175
Expected Total Nurse Staffing Hours per Resident per Day
4.45916
Adjusted CNA Staffing Hours per Resident per Day
2.28231
Adjusted LPN Staffing Hours per Resident per Day
0.72314
Adjusted RN Staffing Hours per Resident per Day
0.23876
Adjusted Total Nurse Staffing Hours per Resident per Day
2.94479
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
2014-07-09
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
2013-06-13
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
16
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
2.66700
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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