Holliswood Center For Rehabilitation & Healthcare - Hollis Nursing Home
General Information
UPDATEFederal Provider Number
335503
Provider Name
HOLLISWOOD CENTER FOR REHABILITATION & HEALTHCARE
Provider Address
195 44 WOODHULL AVENUE
HOLLIS, NY 11423
HOLLIS, NY 11423
Provider Phone Number
(718) 740-3500
Provider SSA County
590
Provider County Name
Queens
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
314
Number of Residents in Certified Beds
299
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLLIS OPERATING CO, LLC
Date First Approved to Provide Medicare and Medicaid services
1976-05-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
3.15368
Reported LPN Staffing Hours per Resident per Day
1.19097
Reported RN Staffing Hours per Resident per Day
0.80552
Reported Licensed Staffing Hours per Resident per Day
1.99649
Reported Total Nurse Staffing Hours per Resident per Day
5.15017
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17441
Expected CNA Staffing Hours per Resident per Day
2.53342
Expected LPN Staffing Hours per Resident per Day
0.65087
Expected RN Staffing Hours per Resident per Day
1.19471
Expected Total Nurse Staffing Hours per Resident per Day
4.37899
Adjusted CNA Staffing Hours per Resident per Day
3.05445
Adjusted LPN Staffing Hours per Resident per Day
1.51875
Adjusted RN Staffing Hours per Resident per Day
0.50379
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74078
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-06-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
12
Cycle 2 Standard Health Survey Date
2013-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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