Haven Manor Health Care Center L L C - Far Rockaway Nursing Home
General Information
UPDATEFederal Provider Number
335676
Provider Name
HAVEN MANOR HEALTH CARE CENTER L L C
Provider Address
1441 GATEWAY BOULEVARD
FAR ROCKAWAY, NY 11691
FAR ROCKAWAY, NY 11691
Provider Phone Number
(718) 471-1500
Provider SSA County
590
Provider County Name
Queens
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
240
Number of Residents in Certified Beds
226
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAVEN MANOR HEALTH CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1984-10-01
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
5
Health Inspection Rating Footnote
QM Rating
3
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
1.05155
Reported LPN Staffing Hours per Resident per Day
0.58319
Reported RN Staffing Hours per Resident per Day
0.25111
Reported Licensed Staffing Hours per Resident per Day
0.83429
Reported Total Nurse Staffing Hours per Resident per Day
1.88585
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01261
Expected CNA Staffing Hours per Resident per Day
2.03124
Expected LPN Staffing Hours per Resident per Day
0.63272
Expected RN Staffing Hours per Resident per Day
0.96664
Expected Total Nurse Staffing Hours per Resident per Day
3.63061
Adjusted CNA Staffing Hours per Resident per Day
1.27025
Adjusted LPN Staffing Hours per Resident per Day
0.76502
Adjusted RN Staffing Hours per Resident per Day
0.19410
Adjusted Total Nurse Staffing Hours per Resident per Day
2.09378
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
2014-04-17
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
4
Cycle 2 Standard Health Survey Date
2013-03-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
4
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
4
Total Weighted Health Survey Score
2.00000
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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