Lakeview Rehabilitation And Care Center - Middle Island Nursing Home
General Information
UPDATEFederal Provider Number
335719
Provider Name
LAKEVIEW REHABILITATION AND CARE CENTER
Provider Address
63 OAKCREST AVENUE
MIDDLE ISLAND, NY 11953
MIDDLE ISLAND, NY 11953
Provider Phone Number
(631) 924-8830
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CREST HALL CORP.
Date First Approved to Provide Medicare and Medicaid services
1992-04-24
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.28750
Reported LPN Staffing Hours per Resident per Day
0.20625
Reported RN Staffing Hours per Resident per Day
1.17404
Reported Licensed Staffing Hours per Resident per Day
1.38029
Reported Total Nurse Staffing Hours per Resident per Day
2.66779
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05144
Expected CNA Staffing Hours per Resident per Day
2.39219
Expected LPN Staffing Hours per Resident per Day
0.67599
Expected RN Staffing Hours per Resident per Day
1.07590
Expected Total Nurse Staffing Hours per Resident per Day
4.14408
Adjusted CNA Staffing Hours per Resident per Day
1.32060
Adjusted LPN Staffing Hours per Resident per Day
0.25324
Adjusted RN Staffing Hours per Resident per Day
0.81536
Adjusted Total Nurse Staffing Hours per Resident per Day
2.59493
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
482
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
482
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
2013-09-20
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
249.00000
Number of Facility Reported Incidents
4
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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