Mills Pond Nursing And Rehabilitation Center - St James Nursing Home
General Information
UPDATEFederal Provider Number
335739
Provider Name
MILLS POND NURSING AND REHABILITATION CENTER
Provider Address
273 MORICHES ROAD
ST JAMES, NY 11780
ST JAMES, NY 11780
Provider Phone Number
(631) 862-8990
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
252
Number of Residents in Certified Beds
244
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOPAL AT ST. JAMES LLC
Date First Approved to Provide Medicare and Medicaid services
1991-08-21
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.87152
Reported LPN Staffing Hours per Resident per Day
0.62684
Reported RN Staffing Hours per Resident per Day
0.62377
Reported Licensed Staffing Hours per Resident per Day
1.25061
Reported Total Nurse Staffing Hours per Resident per Day
3.12213
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11148
Expected CNA Staffing Hours per Resident per Day
2.61239
Expected LPN Staffing Hours per Resident per Day
0.73357
Expected RN Staffing Hours per Resident per Day
1.36775
Expected Total Nurse Staffing Hours per Resident per Day
4.71370
Adjusted CNA Staffing Hours per Resident per Day
1.75784
Adjusted LPN Staffing Hours per Resident per Day
0.70924
Adjusted RN Staffing Hours per Resident per Day
0.34077
Adjusted Total Nurse Staffing Hours per Resident per Day
2.66988
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
2012-06-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.66700
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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