Michael Malotz Skilled Nursing Pavillion - Yonkers Nursing Home

General Information

UPDATE
Federal Provider Number
335829
Provider Name
MICHAEL MALOTZ SKILLED NURSING PAVILLION
Provider Address
120 ODELL AVENUE
YONKERS, NY 10701
Provider Phone Number
9149643333
Provider SSA County
800
Provider County Name
Westchester
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MICHAEL N. MALOTZ SKILLED NURSING PAVILION
Date First Approved to Provide Medicare and Medicaid services
2001-05-29
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.44623
Reported LPN Staffing Hours per Resident per Day
0.82075
Reported RN Staffing Hours per Resident per Day
0.93538
Reported Licensed Staffing Hours per Resident per Day
1.75613
Reported Total Nurse Staffing Hours per Resident per Day
4.20236
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14858
Expected CNA Staffing Hours per Resident per Day
2.58772
Expected LPN Staffing Hours per Resident per Day
0.84586
Expected RN Staffing Hours per Resident per Day
1.54723
Expected Total Nurse Staffing Hours per Resident per Day
4.98081
Adjusted CNA Staffing Hours per Resident per Day
2.31954
Adjusted LPN Staffing Hours per Resident per Day
0.80536
Adjusted RN Staffing Hours per Resident per Day
0.45172
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40091
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
20
Cycle 2 Standard Health Survey Date
2013-08-07
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.00000
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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