New York Hospitial Med Ctr T C U - Flushing Nursing Home
General Information
UPDATEFederal Provider Number
335862
Provider Name
NEW YORK HOSPITIAL MED CTR T C U
Provider Address
56-45 MAIN STREET
FLUSHING, NY 11355
FLUSHING, NY 11355
Provider Phone Number
(999) 999-9991
Provider SSA County
590
Provider County Name
Queens
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
16
Number of Residents in Certified Beds
14
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2012-08-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
0.84643
Reported LPN Staffing Hours per Resident per Day
1.22500
Reported RN Staffing Hours per Resident per Day
1.94286
Reported Licensed Staffing Hours per Resident per Day
3.16786
Reported Total Nurse Staffing Hours per Resident per Day
4.01429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.45000
Expected CNA Staffing Hours per Resident per Day
2.29273
Expected LPN Staffing Hours per Resident per Day
0.89567
Expected RN Staffing Hours per Resident per Day
1.94022
Expected Total Nurse Staffing Hours per Resident per Day
5.12862
Adjusted CNA Staffing Hours per Resident per Day
0.90586
Adjusted LPN Staffing Hours per Resident per Day
1.13518
Adjusted RN Staffing Hours per Resident per Day
0.74822
Adjusted Total Nurse Staffing Hours per Resident per Day
3.15508
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-04-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-05-16
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-06-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
2.66700
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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