Incarnation Childrens Center - New York Nursing Home

General Information

UPDATE
Federal Provider Number
335822
Provider Name
INCARNATION CHILDRENS CENTER
Provider Address
142 AUDOBON AVENUE
NEW YORK, NY 10032
Provider Phone Number
2129282590
Provider SSA County
420
Provider County Name
New York
Ownership Type
Non profit - Corporation
Number of Certified Beds
21
Number of Residents in Certified Beds
21
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2000-06-27
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.69524
Reported LPN Staffing Hours per Resident per Day
0.25476
Reported RN Staffing Hours per Resident per Day
2.42857
Reported Licensed Staffing Hours per Resident per Day
2.68333
Reported Total Nurse Staffing Hours per Resident per Day
7.37857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04762
Expected CNA Staffing Hours per Resident per Day
1.45447
Expected LPN Staffing Hours per Resident per Day
0.53412
Expected RN Staffing Hours per Resident per Day
0.59763
Expected Total Nurse Staffing Hours per Resident per Day
2.58623
Adjusted CNA Staffing Hours per Resident per Day
7.92088
Adjusted LPN Staffing Hours per Resident per Day
0.39588
Adjusted RN Staffing Hours per Resident per Day
3.03636
Adjusted Total Nurse Staffing Hours per Resident per Day
11.50025
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
2014-11-26
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
0.66700
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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