Northern Manor Geriatric Ctr Inc - Nanuet Nursing Home
General Information
UPDATEFederal Provider Number
335046
Provider Name
NORTHERN MANOR GERIATRIC CTR INC
Provider Address
199 N MIDDLETOWN ROAD
NANUET, NY 10954
NANUET, NY 10954
Provider Phone Number
8456233904
Provider SSA County
620
Provider County Name
Rockland
Ownership Type
Non profit - Corporation
Number of Certified Beds
231
Number of Residents in Certified Beds
219
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHERN MANOR MULTICARE CENTER INC
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
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
3.93379
Reported LPN Staffing Hours per Resident per Day
1.89292
Reported RN Staffing Hours per Resident per Day
0.86689
Reported Licensed Staffing Hours per Resident per Day
2.75982
Reported Total Nurse Staffing Hours per Resident per Day
6.69360
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14064
Expected CNA Staffing Hours per Resident per Day
2.49072
Expected LPN Staffing Hours per Resident per Day
0.75846
Expected RN Staffing Hours per Resident per Day
1.28957
Expected Total Nurse Staffing Hours per Resident per Day
4.53875
Adjusted CNA Staffing Hours per Resident per Day
3.87532
Adjusted LPN Staffing Hours per Resident per Day
2.07146
Adjusted RN Staffing Hours per Resident per Day
0.50229
Adjusted Total Nurse Staffing Hours per Resident per Day
5.94464
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-01-28
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
24
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2014-04-16
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
52
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
90.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2470
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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