Maria Regina Residence Inc - Brentwood Nursing Home
General Information
UPDATEFederal Provider Number
335837
Provider Name
MARIA REGINA RESIDENCE INC
Provider Address
1725 BRENTWOOD ROAD
BRENTWOOD, NY 11717
BRENTWOOD, NY 11717
Provider Phone Number
(631) 273-4500
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
188
Number of Residents in Certified Beds
181
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARIA REGINA RESIDENCE, INC.
Date First Approved to Provide Medicare and Medicaid services
2002-02-26
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
3
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
2.37983
Reported LPN Staffing Hours per Resident per Day
0.74503
Reported RN Staffing Hours per Resident per Day
0.51298
Reported Licensed Staffing Hours per Resident per Day
1.25801
Reported Total Nurse Staffing Hours per Resident per Day
3.63784
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03481
Expected CNA Staffing Hours per Resident per Day
2.49732
Expected LPN Staffing Hours per Resident per Day
0.58582
Expected RN Staffing Hours per Resident per Day
0.89044
Expected Total Nurse Staffing Hours per Resident per Day
3.97358
Adjusted CNA Staffing Hours per Resident per Day
2.33827
Adjusted LPN Staffing Hours per Resident per Day
1.05556
Adjusted RN Staffing Hours per Resident per Day
0.43046
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69032
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-02
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
2012-12-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
13.33300
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
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