Our Lady Of Consolation Geriatric Care Center - West Islip Nursing Home

General Information

UPDATE
Federal Provider Number
335539
Provider Name
OUR LADY OF CONSOLATION GERIATRIC CARE CENTER
Provider Address
111 BEACH DRIVE
WEST ISLIP, NY 11795
Provider Phone Number
(631) 587-1600
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
450
Number of Residents in Certified Beds
416
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OUR LADY OF CONSOLATION GERIATRIC CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1975-06-12
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35853
Reported LPN Staffing Hours per Resident per Day
0.58317
Reported RN Staffing Hours per Resident per Day
0.93654
Reported Licensed Staffing Hours per Resident per Day
1.51971
Reported Total Nurse Staffing Hours per Resident per Day
3.87824
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15108
Expected CNA Staffing Hours per Resident per Day
2.52035
Expected LPN Staffing Hours per Resident per Day
0.68898
Expected RN Staffing Hours per Resident per Day
1.15527
Expected Total Nurse Staffing Hours per Resident per Day
4.36461
Adjusted CNA Staffing Hours per Resident per Day
2.29615
Adjusted LPN Staffing Hours per Resident per Day
0.70253
Adjusted RN Staffing Hours per Resident per Day
0.60573
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58172
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-05
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
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-11
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-01-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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