Harlem Center For Nursing & Rehabilitation, L L C - New York Nursing Home
General Information
UPDATEFederal Provider Number
335522
Provider Name
HARLEM CENTER FOR NURSING & REHABILITATION, L L C
Provider Address
30 WEST 138TH STREET
NEW YORK, NY 10037
NEW YORK, NY 10037
Provider Phone Number
(212) 690-7400
Provider SSA County
420
Provider County Name
New York
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
158
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREATER HARLEM NURSING HOME AND REHABILITATION CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-02-04
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
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
2.14684
Reported LPN Staffing Hours per Resident per Day
0.76013
Reported RN Staffing Hours per Resident per Day
0.33766
Reported Licensed Staffing Hours per Resident per Day
1.09778
Reported Total Nurse Staffing Hours per Resident per Day
3.24463
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07563
Expected CNA Staffing Hours per Resident per Day
2.59013
Expected LPN Staffing Hours per Resident per Day
0.66335
Expected RN Staffing Hours per Resident per Day
1.06838
Expected Total Nurse Staffing Hours per Resident per Day
4.32186
Adjusted CNA Staffing Hours per Resident per Day
2.03376
Adjusted LPN Staffing Hours per Resident per Day
0.95109
Adjusted RN Staffing Hours per Resident per Day
0.23615
Adjusted Total Nurse Staffing Hours per Resident per Day
3.02619
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
8
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-17
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-05-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
18.00000
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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