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
5164663001
Provider SSA County
400
Provider County Name
Nassau
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
N
Legal Business Name
PINEGROVE MANOR II, LLC
Date First Approved to Provide Medicare and Medicaid services
1976-04-01
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
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
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
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
12
Cycle 2 Standard Health Survey Date
2013-01-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-11-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
24.00000
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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