John T Mather Memorial Hospital T C U - Port Jefferson Nursing Home
General Information
UPDATEFederal Provider Number
335853
Provider Name
JOHN T MATHER MEMORIAL HOSPITAL T C U
Provider Address
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
Provider Phone Number
6314731320
Provider SSA County
700
Provider County Name
Suffolk
Ownership Type
Non profit - Corporation
Number of Certified Beds
16
Number of Residents in Certified Beds
14
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2007-04-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
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
3.46429
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
5.67500
Reported Licensed Staffing Hours per Resident per Day
5.67500
Reported Total Nurse Staffing Hours per Resident per Day
9.13929
Reported Physical Therapist Staffing Hours per Resident Per Day
0.42500
Expected CNA Staffing Hours per Resident per Day
2.07164
Expected LPN Staffing Hours per Resident per Day
0.79578
Expected RN Staffing Hours per Resident per Day
2.14877
Expected Total Nurse Staffing Hours per Resident per Day
5.01619
Adjusted CNA Staffing Hours per Resident per Day
4.10320
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.97339
Adjusted Total Nurse Staffing Hours per Resident per Day
7.34414
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
2014-03-11
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
14.66700
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
Nursiong Homes Nearby
Waters Edge At Port Jefferson For Rehab & Nursing
150 Dark Hollow Road |
PORT JEFFERSON NY 11777 | 0.9 mile away
Lakeview Rehabilitation And Care Center
63 Oakcrest Avenue |
MIDDLE ISLAND NY 11953 | 5.7 miles away
Oak Hollow Nursing Center
49 Oakcrest Ave |
MIDDLE ISLAND NY 11953 | 5.7 miles away
Smithtown Center For Rehab & Nursing Care
391 North Country Road |
SMITHTOWN NY 11787 | 7.8 miles away
Island Nursing And Rehabilitation Center Inc
5537 Expressway Drive North |
HOLTSVILLE NY 11742 | 8.1 miles away
Nesconset Center For Nursing And Rehabilitation
100 Southern Boulevard |
NESCONSET NY 11767 | 8.3 miles away
Medford Multicare Center For Living
3115 Horseblock Road |
MEDFORD NY 11763 | 8.7 miles away
St Catherine Of Siena
52 Route 25a |
SMITHTOWN NY 11787 | 8.9 miles away
St Johnland Nursing Center Inc
395 Sunken Meadow Road |
KINGS PARK NY 11754 | 9.9 miles away
Avalon Gardens Rehabilitation & Health Care Center
7 Route 25a |
SMITHTOWN NY 11787 | 10 miles away
Brookhaven Health Care Facility L L C
801 Gazzola Blvd |
EAST PATCHOGUE NY 11772 | 11.7 miles away
Sayville Nursing And Rehabilitation Center
300 Broadway Avenue |
SAYVILLE NY 11782 | 12.1 miles away
Suffolk Center For Rehabilitation And Nrsg
25 Schoenfeld Blvd |
PATCHOGUE NY 11772 | 12.2 miles away
Bellhaven Nursing & Rehab Center
110 Beaver Dam Road |
BROOKHAVEN NY 11719 | 13.2 miles away
Affinity Skilled Living And Rehabilitation Ctr
305 Locust Avenue |
OAKDALE NY 11769 | 13.9 miles away
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