Jeffersons Ferry Life Care Co - South Setauket Nursing Home
General Information
UPDATEFederal Provider Number
335833
Provider Name
JEFFERSONS FERRY LIFE CARE CO
Provider Address
500 MATHER DRIVE
SOUTH SETAUKET, NY 11720
SOUTH SETAUKET, NY 11720
Provider Phone Number
6316502700
Provider SSA County
700
Provider County Name
Suffolk
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ACTIVE RETIREMENT COMMUNITY, INC.
Date First Approved to Provide Medicare and Medicaid services
2001-11-06
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.47458
Reported LPN Staffing Hours per Resident per Day
1.10424
Reported RN Staffing Hours per Resident per Day
0.87373
Reported Licensed Staffing Hours per Resident per Day
1.97797
Reported Total Nurse Staffing Hours per Resident per Day
4.45255
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09661
Expected CNA Staffing Hours per Resident per Day
2.33822
Expected LPN Staffing Hours per Resident per Day
0.55732
Expected RN Staffing Hours per Resident per Day
0.92394
Expected Total Nurse Staffing Hours per Resident per Day
3.81948
Adjusted CNA Staffing Hours per Resident per Day
2.59679
Adjusted LPN Staffing Hours per Resident per Day
1.64452
Adjusted RN Staffing Hours per Resident per Day
0.70659
Adjusted Total Nurse Staffing Hours per Resident per Day
4.69901
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-03-05
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
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
2013-03-06
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-01-30
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
1
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
Nursiong Homes Nearby
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St James Rehab & Health Care Center
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Mills Pond Nursing And Rehabilitation Center
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Daleview Care Center
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