Palatine Nursing Home - Palatine Bridge Nursing Home
General Information
UPDATEFederal Provider Number
335685
Provider Name
PALATINE NURSING HOME
Provider Address
154 LAFAYETTE STREET
PALATINE BRIDGE, NY 13428
PALATINE BRIDGE, NY 13428
Provider Phone Number
(518) 673-5212
Provider SSA County
380
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COSDEN, LLC
Date First Approved to Provide Medicare and Medicaid services
1985-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.04924
Reported LPN Staffing Hours per Resident per Day
0.97197
Reported RN Staffing Hours per Resident per Day
0.37500
Reported Licensed Staffing Hours per Resident per Day
1.34697
Reported Total Nurse Staffing Hours per Resident per Day
3.39621
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08636
Expected CNA Staffing Hours per Resident per Day
2.45837
Expected LPN Staffing Hours per Resident per Day
0.60312
Expected RN Staffing Hours per Resident per Day
0.92555
Expected Total Nurse Staffing Hours per Resident per Day
3.98703
Adjusted CNA Staffing Hours per Resident per Day
2.04535
Adjusted LPN Staffing Hours per Resident per Day
1.33761
Adjusted RN Staffing Hours per Resident per Day
0.30274
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43358
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-03-06
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
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-02-03
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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