Golden Gate Rehab And H C C - Staten Island Nursing Home
General Information
UPDATEFederal Provider Number
335502
Provider Name
GOLDEN GATE REHAB AND H C C
Provider Address
191 BRADLEY AVE
STATEN ISLAND, NY 10314
STATEN ISLAND, NY 10314
Provider Phone Number
(718) 698-8800
Provider SSA County
610
Provider County Name
Richmond
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
238
Number of Residents in Certified Beds
228
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOLDEN GATE REHABILITATION & HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1976-05-01
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
Partial
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.99167
Reported LPN Staffing Hours per Resident per Day
0.22829
Reported RN Staffing Hours per Resident per Day
0.70570
Reported Licensed Staffing Hours per Resident per Day
0.93399
Reported Total Nurse Staffing Hours per Resident per Day
2.92566
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02719
Expected CNA Staffing Hours per Resident per Day
2.43137
Expected LPN Staffing Hours per Resident per Day
0.72828
Expected RN Staffing Hours per Resident per Day
1.25533
Expected Total Nurse Staffing Hours per Resident per Day
4.41498
Adjusted CNA Staffing Hours per Resident per Day
2.00996
Adjusted LPN Staffing Hours per Resident per Day
0.26018
Adjusted RN Staffing Hours per Resident per Day
0.42005
Adjusted Total Nurse Staffing Hours per Resident per Day
2.67114
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-04-28
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
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
2013-04-05
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-03-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
10.00000
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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