Forest View Ctr Rehab Nursing - Forest Hills Nursing Home
General Information
UPDATEFederal Provider Number
335310
Provider Name
FOREST VIEW CTR REHAB NURSING
Provider Address
71 20 110TH STREET
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
Provider Phone Number
(718) 793-3200
Provider SSA County
590
Provider County Name
Queens
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
155
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOREST VIEW NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1971-06-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
5
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
2.55645
Reported LPN Staffing Hours per Resident per Day
0.78613
Reported RN Staffing Hours per Resident per Day
0.71581
Reported Licensed Staffing Hours per Resident per Day
1.50194
Reported Total Nurse Staffing Hours per Resident per Day
4.05839
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13839
Expected CNA Staffing Hours per Resident per Day
2.53069
Expected LPN Staffing Hours per Resident per Day
0.74038
Expected RN Staffing Hours per Resident per Day
1.21165
Expected Total Nurse Staffing Hours per Resident per Day
4.48272
Adjusted CNA Staffing Hours per Resident per Day
2.47868
Adjusted LPN Staffing Hours per Resident per Day
0.88129
Adjusted RN Staffing Hours per Resident per Day
0.44142
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64934
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
2014-08-08
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
4.66700
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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