Hillside Manor Rehab And Extended Care Center - Jamaica Est Nursing Home
General Information
UPDATEFederal Provider Number
335531
Provider Name
HILLSIDE MANOR REHAB AND EXTENDED CARE CENTER
Provider Address
182 15 HILLSIDE AVENUE
JAMAICA EST, NY 11432
JAMAICA EST, NY 11432
Provider Phone Number
(718) 291-8200
Provider SSA County
590
Provider County Name
Queens
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
400
Number of Residents in Certified Beds
365
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILLSIDE MANOR REHABILITATION AND EXTENDED CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1975-12-22
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.30027
Reported LPN Staffing Hours per Resident per Day
0.37164
Reported RN Staffing Hours per Resident per Day
0.73671
Reported Licensed Staffing Hours per Resident per Day
1.10836
Reported Total Nurse Staffing Hours per Resident per Day
3.40862
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06110
Expected CNA Staffing Hours per Resident per Day
2.67579
Expected LPN Staffing Hours per Resident per Day
0.76188
Expected RN Staffing Hours per Resident per Day
1.12037
Expected Total Nurse Staffing Hours per Resident per Day
4.55803
Adjusted CNA Staffing Hours per Resident per Day
2.10935
Adjusted LPN Staffing Hours per Resident per Day
0.40487
Adjusted RN Staffing Hours per Resident per Day
0.49133
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01442
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
2014-06-06
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-04-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
6.00000
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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