Margaret Tietz Center For Nursing - Jamaica Nursing Home

General Information

UPDATE
Federal Provider Number
335336
Provider Name
MARGARET TIETZ CENTER FOR NURSING
Provider Address
164 11 CHAPIN PARKWAY
JAMAICA, NY 11432
Provider Phone Number
7182987800
Provider SSA County
590
Provider County Name
Queens
Ownership Type
Non profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
196
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARGARET TIETZ NURSING AND REHABILITATION CENTER
Date First Approved to Provide Medicare and Medicaid services
1971-11-01
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
4
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
2.09107
Reported LPN Staffing Hours per Resident per Day
0.54668
Reported RN Staffing Hours per Resident per Day
0.67041
Reported Licensed Staffing Hours per Resident per Day
1.21709
Reported Total Nurse Staffing Hours per Resident per Day
3.30816
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05867
Expected CNA Staffing Hours per Resident per Day
2.66319
Expected LPN Staffing Hours per Resident per Day
0.73427
Expected RN Staffing Hours per Resident per Day
1.21310
Expected Total Nurse Staffing Hours per Resident per Day
4.61057
Adjusted CNA Staffing Hours per Resident per Day
1.92658
Adjusted LPN Staffing Hours per Resident per Day
0.61795
Adjusted RN Staffing Hours per Resident per Day
0.41293
Adjusted Total Nurse Staffing Hours per Resident per Day
2.89224
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
4
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
2013-07-10
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
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1950
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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