Northern Metropolitan R H C F Inc - Monsey Nursing Home
General Information
UPDATEFederal Provider Number
335380
Provider Name
NORTHERN METROPOLITAN R H C F INC
Provider Address
225 MAPLE AVENUE
MONSEY, NY 10952
MONSEY, NY 10952
Provider Phone Number
(845) 352-9000
Provider SSA County
620
Provider County Name
Rockland
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHERN METROPLITAN INC
Date First Approved to Provide Medicare and Medicaid services
1973-01-15
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
Partial
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
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
3.93227
Reported LPN Staffing Hours per Resident per Day
1.62045
Reported RN Staffing Hours per Resident per Day
0.78591
Reported Licensed Staffing Hours per Resident per Day
2.40636
Reported Total Nurse Staffing Hours per Resident per Day
6.33863
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11682
Expected CNA Staffing Hours per Resident per Day
2.42804
Expected LPN Staffing Hours per Resident per Day
0.68973
Expected RN Staffing Hours per Resident per Day
1.18120
Expected Total Nurse Staffing Hours per Resident per Day
4.29897
Adjusted CNA Staffing Hours per Resident per Day
3.97383
Adjusted LPN Staffing Hours per Resident per Day
1.94999
Adjusted RN Staffing Hours per Resident per Day
0.49715
Adjusted Total Nurse Staffing Hours per Resident per Day
5.94338
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
2015-01-28
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
6.00000
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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