Haym Salomon Home For The Aged - Brooklyn Nursing Home
General Information
UPDATEFederal Provider Number
335656
Provider Name
HAYM SALOMON HOME FOR THE AGED
Provider Address
2340 CROPSEY AVENUE
BROOKLYN, NY 11214
BROOKLYN, NY 11214
Provider Phone Number
7183731700
Provider SSA County
331
Provider County Name
Kings
Ownership Type
For profit - Partnership
Number of Certified Beds
240
Number of Residents in Certified Beds
211
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAYM SOLOMON HOME FOR THE AGED, LLC
Date First Approved to Provide Medicare and Medicaid services
1982-06-02
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.79858
Reported LPN Staffing Hours per Resident per Day
0.80664
Reported RN Staffing Hours per Resident per Day
0.93033
Reported Licensed Staffing Hours per Resident per Day
1.73697
Reported Total Nurse Staffing Hours per Resident per Day
4.53555
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10284
Expected CNA Staffing Hours per Resident per Day
2.62720
Expected LPN Staffing Hours per Resident per Day
0.76504
Expected RN Staffing Hours per Resident per Day
1.41475
Expected Total Nurse Staffing Hours per Resident per Day
4.80699
Adjusted CNA Staffing Hours per Resident per Day
2.61376
Adjusted LPN Staffing Hours per Resident per Day
0.87513
Adjusted RN Staffing Hours per Resident per Day
0.49135
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80329
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
2013-09-09
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
28.00000
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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