Momentum At South Bay For Rehabilation And Nursing - East Islip Nursing Home
General Information
UPDATEFederal Provider Number
335401
Provider Name
MOMENTUM AT SOUTH BAY FOR REHABILATION AND NURSING
Provider Address
340 EAST MONTAUK HIGHWAY
EAST ISLIP, NY 11730
EAST ISLIP, NY 11730
Provider Phone Number
6315816400
Provider SSA County
700
Provider County Name
Suffolk
Ownership Type
Non profit - Other
Number of Certified Beds
160
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUFFOLK RESTORATIVE THERAPY & NURSING, LLC
Date First Approved to Provide Medicare and Medicaid services
1973-10-25
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.56738
Reported LPN Staffing Hours per Resident per Day
0.93972
Reported RN Staffing Hours per Resident per Day
0.99220
Reported Licensed Staffing Hours per Resident per Day
1.93191
Reported Total Nurse Staffing Hours per Resident per Day
4.49930
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15213
Expected CNA Staffing Hours per Resident per Day
2.40935
Expected LPN Staffing Hours per Resident per Day
0.67134
Expected RN Staffing Hours per Resident per Day
1.35733
Expected Total Nurse Staffing Hours per Resident per Day
4.43802
Adjusted CNA Staffing Hours per Resident per Day
2.61464
Adjusted LPN Staffing Hours per Resident per Day
1.16181
Adjusted RN Staffing Hours per Resident per Day
0.54620
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08656
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
2015-04-21
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-04-09
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
18.66700
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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