Grace Plaza Nursing And Rehabilitation Center - Great Neck Nursing Home

General Information

UPDATE

Federal Provider Number

335483

Provider Name

GRACE PLAZA NURSING AND REHABILITATION CENTER

Provider Address

15 ST PAULS PLACE
GREAT NECK, NY 11021

Provider Phone Number

(516) 466-3001

Provider SSA County

400

Provider County Name

Nassau

Provider Website

Provider Description

Ownership Type

For profit - Corporation

Number of Certified Beds

214

Number of Residents in Certified Beds

205

Provider Type

Medicare and Medicaid

Provider Resides in Hospital

Legal Business Name

PINEGROVE MANOR II, LLC

Date First Approved to Provide Medicare and Medicaid services

1976-04-01

Continuing Care Retirement Community

Special Focus Facility

Provider Changed Ownership in Last 12 Months

With a Resident and Family Council

Both

Automatic Sprinkler Systems in All Required Areas

Yes

Rating Detail Information

Overall Rating

Overall Rating Footnote

Health Inspection Rating

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QM Rating

QM Rating Footnote

Staffing Rating

Staffing Rating Footnote

RN Staffing Rating

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Reported Staffing Footnote

Physical Therapist Staffing Footnote

Reported CNA Staffing Hours per Resident per Day

2.16902

Reported LPN Staffing Hours per Resident per Day

0.54390

Reported RN Staffing Hours per Resident per Day

0.64561

Reported Licensed Staffing Hours per Resident per Day

1.18951

Reported Total Nurse Staffing Hours per Resident per Day

3.35853

Reported Physical Therapist Staffing Hours per Resident Per Day

0.08854

Expected CNA Staffing Hours per Resident per Day

2.57616

Expected LPN Staffing Hours per Resident per Day

0.70697

Expected RN Staffing Hours per Resident per Day

1.19245

Expected Total Nurse Staffing Hours per Resident per Day

4.47557

Adjusted CNA Staffing Hours per Resident per Day

2.06592

Adjusted LPN Staffing Hours per Resident per Day

0.63855

Adjusted RN Staffing Hours per Resident per Day

0.40455

Adjusted Total Nurse Staffing Hours per Resident per Day

3.02484

Cycle 1 Total Number of Health Deficiencies

Cycle 1 Number of Standard Health Deficiencies

Cycle 1 Number of Complaint Health Deficiencies

Cycle 1 Health Deficiency Score

Cycle 1 Standard Survey Health Date

2014-02-25

Cycle 1 Number of Health Revisits

Cycle 1 Health Revisit Score

Cycle 1 Total Health Score

Cycle 2 Total Number of Health Deficiencies

Cycle 2 Number of Standard Health Deficiencies

Cycle 2 Number of Complaint Health Deficiencies

Cycle 2 Health Deficiency Score

Cycle 2 Standard Health Survey Date

2013-01-08

Cycle 2 Number of Health Revisits

Cycle 2 Health Revisit Score

Cycle 2 Total Health Score

Cycle 3 Total Number of Health Deficiencies

Cycle 3 Number of Standard Health Deficiencies

Cycle 3 Number of Complaint Health Deficiencies

Cycle 3 Health Deficiency Score

Cycle 3 Standard Health Survey Date

2011-11-18

Cycle 3 Number of Health Revisits

Cycle 3 Health Revisit Score

Cycle 3 Total Health Score

Total Weighted Health Survey Score

24.00000

Number of Facility Reported Incidents

Number of Substantiated Complaints

Number of Fines

Total Amount of Fines in Dollars

Number of Payment Denials

Total Number of Penalties

Location

Processing Date

2015-06-01

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