Medford Multicare Center For Living - Medford Nursing Home
General Information
UPDATEFederal Provider Number
335840
Provider Name
MEDFORD MULTICARE CENTER FOR LIVING
Provider Address
3115 HORSEBLOCK ROAD
MEDFORD, NY 11763
MEDFORD, NY 11763
Provider Phone Number
(631) 730-3000
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
320
Number of Residents in Certified Beds
265
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NURSING CARE CENTER AT MEDFORD INC
Date First Approved to Provide Medicare and Medicaid services
2002-10-01
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.79321
Reported LPN Staffing Hours per Resident per Day
1.08057
Reported RN Staffing Hours per Resident per Day
0.75925
Reported Licensed Staffing Hours per Resident per Day
1.83981
Reported Total Nurse Staffing Hours per Resident per Day
4.63303
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02245
Expected CNA Staffing Hours per Resident per Day
2.57161
Expected LPN Staffing Hours per Resident per Day
0.81479
Expected RN Staffing Hours per Resident per Day
1.20650
Expected Total Nurse Staffing Hours per Resident per Day
4.59290
Adjusted CNA Staffing Hours per Resident per Day
2.66514
Adjusted LPN Staffing Hours per Resident per Day
1.10074
Adjusted RN Staffing Hours per Resident per Day
0.47021
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06612
Cycle 1 Total Number of Health Deficiencies
25
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
1358
Cycle 1 Standard Survey Health Date
2014-11-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
1358
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
684.33300
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
7
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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