Nyack Manor Nursing Home - Valley Cottage Nursing Home

General Information

UPDATE
Federal Provider Number
335365
Provider Name
NYACK MANOR NURSING HOME
Provider Address
476 CHRISTIAN HERALD ROAD
VALLEY COTTAGE, NY 10989
Provider Phone Number
8452686861
Provider SSA County
620
Provider County Name
Rockland
Ownership Type
For profit - Partnership
Number of Certified Beds
160
Number of Residents in Certified Beds
148
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NYACK MANOR NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1972-11-01
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
2.10135
Reported LPN Staffing Hours per Resident per Day
0.75405
Reported RN Staffing Hours per Resident per Day
0.42500
Reported Licensed Staffing Hours per Resident per Day
1.17905
Reported Total Nurse Staffing Hours per Resident per Day
3.28040
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10676
Expected CNA Staffing Hours per Resident per Day
2.44722
Expected LPN Staffing Hours per Resident per Day
0.60777
Expected RN Staffing Hours per Resident per Day
1.00356
Expected Total Nurse Staffing Hours per Resident per Day
4.05855
Adjusted CNA Staffing Hours per Resident per Day
2.10692
Adjusted LPN Staffing Hours per Resident per Day
1.02977
Adjusted RN Staffing Hours per Resident per Day
0.31643
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25805
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
20
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-12-23
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-04-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
16.66700
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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Northern Metropolitan R H C F Inc

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