New Surfside Nursing Home - Far Rockaway Nursing Home
General Information
UPDATEFederal Provider Number
335165
Provider Name
NEW SURFSIDE NURSING HOME
Provider Address
22-41 NEW HAVEN AVENUE
FAR ROCKAWAY, NY 11691
FAR ROCKAWAY, NY 11691
Provider Phone Number
(718) 471-3400
Provider SSA County
590
Provider County Name
Queens
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
183
Number of Residents in Certified Beds
170
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEW SURFSIDE NURSING HOME LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.74206
Reported LPN Staffing Hours per Resident per Day
0.45971
Reported RN Staffing Hours per Resident per Day
0.53500
Reported Licensed Staffing Hours per Resident per Day
0.99471
Reported Total Nurse Staffing Hours per Resident per Day
2.73677
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02941
Expected CNA Staffing Hours per Resident per Day
2.06117
Expected LPN Staffing Hours per Resident per Day
0.60246
Expected RN Staffing Hours per Resident per Day
0.93556
Expected Total Nurse Staffing Hours per Resident per Day
3.59919
Adjusted CNA Staffing Hours per Resident per Day
2.07382
Adjusted LPN Staffing Hours per Resident per Day
0.63334
Adjusted RN Staffing Hours per Resident per Day
0.42729
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06504
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
12
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-07-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
31.33300
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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