Long Island State Veterans Home - Stonybrook Nursing Home
General Information
UPDATEFederal Provider Number
335758
Provider Name
LONG ISLAND STATE VETERANS HOME
Provider Address
100 PATRIOTS ROAD
STONYBROOK, NY 11790
STONYBROOK, NY 11790
Provider Phone Number
6314448500
Provider SSA County
700
Provider County Name
Suffolk
Ownership Type
Government - State
Number of Certified Beds
350
Number of Residents in Certified Beds
346
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNY HEALTH SCIENCE CENTER AT BKLYN
Date First Approved to Provide Medicare and Medicaid services
1992-04-23
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
3
QM Rating Footnote
Staffing Rating
4
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
2.86503
Reported LPN Staffing Hours per Resident per Day
0.52500
Reported RN Staffing Hours per Resident per Day
1.21113
Reported Licensed Staffing Hours per Resident per Day
1.73613
Reported Total Nurse Staffing Hours per Resident per Day
4.60116
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.62636
Expected LPN Staffing Hours per Resident per Day
0.71484
Expected RN Staffing Hours per Resident per Day
1.04999
Expected Total Nurse Staffing Hours per Resident per Day
4.39120
Adjusted CNA Staffing Hours per Resident per Day
2.67667
Adjusted LPN Staffing Hours per Resident per Day
0.60957
Adjusted RN Staffing Hours per Resident per Day
0.86187
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22363
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-11
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-08-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
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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