Mountainside Residential Care - Margaretville Nursing Home
General Information
UPDATEFederal Provider Number
335339
Provider Name
MOUNTAINSIDE RESIDENTIAL CARE
Provider Address
42158 STATE HIGHWAY 28
MARGARETVILLE, NY 12455
MARGARETVILLE, NY 12455
Provider Phone Number
(845) 586-1800
Provider SSA County
220
Provider County Name
Delaware
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MARGARETVILLE DBA MOUNTAINSIDE
Date First Approved to Provide Medicare and Medicaid services
1971-11-14
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.94074
Reported LPN Staffing Hours per Resident per Day
0.56358
Reported RN Staffing Hours per Resident per Day
0.79630
Reported Licensed Staffing Hours per Resident per Day
1.35988
Reported Total Nurse Staffing Hours per Resident per Day
3.30062
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06790
Expected CNA Staffing Hours per Resident per Day
2.44974
Expected LPN Staffing Hours per Resident per Day
0.58470
Expected RN Staffing Hours per Resident per Day
0.77407
Expected Total Nurse Staffing Hours per Resident per Day
3.80851
Adjusted CNA Staffing Hours per Resident per Day
1.94387
Adjusted LPN Staffing Hours per Resident per Day
0.80003
Adjusted RN Staffing Hours per Resident per Day
0.76866
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49335
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2012-08-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
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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