Northern Riverview Health Care - Haverstraw Nursing Home
General Information
UPDATEFederal Provider Number
335418
Provider Name
NORTHERN RIVERVIEW HEALTH CARE
Provider Address
87 SOUTH ROUTE 9W
HAVERSTRAW, NY 10927
HAVERSTRAW, NY 10927
Provider Phone Number
(845) 429-5381
Provider SSA County
620
Provider County Name
Rockland
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
182
Number of Residents in Certified Beds
163
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHERN RIVERVIEW HEALTH CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1974-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.43773
Reported LPN Staffing Hours per Resident per Day
1.10429
Reported RN Staffing Hours per Resident per Day
0.47914
Reported Licensed Staffing Hours per Resident per Day
1.58344
Reported Total Nurse Staffing Hours per Resident per Day
4.02116
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07362
Expected CNA Staffing Hours per Resident per Day
2.63365
Expected LPN Staffing Hours per Resident per Day
0.71795
Expected RN Staffing Hours per Resident per Day
1.23976
Expected Total Nurse Staffing Hours per Resident per Day
4.59136
Adjusted CNA Staffing Hours per Resident per Day
2.27116
Adjusted LPN Staffing Hours per Resident per Day
1.27664
Adjusted RN Staffing Hours per Resident per Day
0.28878
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53030
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
2014-12-12
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
11.33300
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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