Oak Hollow Nursing Center - Middle Island Nursing Home
General Information
UPDATEFederal Provider Number
335390
Provider Name
OAK HOLLOW NURSING CENTER
Provider Address
49 OAKCREST AVE
MIDDLE ISLAND, NY 11953
MIDDLE ISLAND, NY 11953
Provider Phone Number
(631) 924-8820
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
164
Number of Residents in Certified Beds
130
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAK HOLLOW NC CORP.
Date First Approved to Provide Medicare and Medicaid services
1973-06-25
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
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.55308
Reported LPN Staffing Hours per Resident per Day
0.84615
Reported RN Staffing Hours per Resident per Day
0.66769
Reported Licensed Staffing Hours per Resident per Day
1.51385
Reported Total Nurse Staffing Hours per Resident per Day
4.06692
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08962
Expected CNA Staffing Hours per Resident per Day
2.39664
Expected LPN Staffing Hours per Resident per Day
0.70388
Expected RN Staffing Hours per Resident per Day
1.17854
Expected Total Nurse Staffing Hours per Resident per Day
4.27906
Adjusted CNA Staffing Hours per Resident per Day
2.61387
Adjusted LPN Staffing Hours per Resident per Day
0.99776
Adjusted RN Staffing Hours per Resident per Day
0.42332
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83106
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-03-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
40.00000
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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