Lutheran Augustana Ctr For Extended Care & Rehab - Brooklyn Nursing Home
General Information
UPDATEFederal Provider Number
335521
Provider Name
LUTHERAN AUGUSTANA CTR FOR EXTENDED CARE & REHAB
Provider Address
5434 SECOND AVENUE
BROOKLYN, NY 11204
BROOKLYN, NY 11204
Provider Phone Number
(718) 630-6000
Provider SSA County
331
Provider County Name
Kings
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
240
Number of Residents in Certified Beds
236
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN AUGUSTANA CENTER FOR EXTENDED CARE & REHABILITATION
Date First Approved to Provide Medicare and Medicaid services
1976-04-01
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.05360
Reported LPN Staffing Hours per Resident per Day
0.58856
Reported RN Staffing Hours per Resident per Day
0.78962
Reported Licensed Staffing Hours per Resident per Day
1.37818
Reported Total Nurse Staffing Hours per Resident per Day
3.43178
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17034
Expected CNA Staffing Hours per Resident per Day
2.63007
Expected LPN Staffing Hours per Resident per Day
0.78347
Expected RN Staffing Hours per Resident per Day
1.28323
Expected Total Nurse Staffing Hours per Resident per Day
4.69676
Adjusted CNA Staffing Hours per Resident per Day
1.91589
Adjusted LPN Staffing Hours per Resident per Day
0.62352
Adjusted RN Staffing Hours per Resident per Day
0.45978
Adjusted Total Nurse Staffing Hours per Resident per Day
2.94526
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-05-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
2
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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