Park Avenue Extended Care Facility - Long Beach Nursing Home

General Information

UPDATE
Federal Provider Number
335819
Provider Name
PARK AVENUE EXTENDED CARE FACILITY
Provider Address
425 NATIONAL BOULEVARD
LONG BEACH, NY 11561
Provider Phone Number
5164312600
Provider SSA County
400
Provider County Name
Nassau
Ownership Type
For profit - Partnership
Number of Certified Beds
240
Number of Residents in Certified Beds
223
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARK AVENUE OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1999-10-14
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.23677
Reported LPN Staffing Hours per Resident per Day
0.80964
Reported RN Staffing Hours per Resident per Day
0.39978
Reported Licensed Staffing Hours per Resident per Day
1.20942
Reported Total Nurse Staffing Hours per Resident per Day
3.44619
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15247
Expected CNA Staffing Hours per Resident per Day
2.60011
Expected LPN Staffing Hours per Resident per Day
0.74266
Expected RN Staffing Hours per Resident per Day
1.34284
Expected Total Nurse Staffing Hours per Resident per Day
4.68561
Adjusted CNA Staffing Hours per Resident per Day
2.11082
Adjusted LPN Staffing Hours per Resident per Day
0.90486
Adjusted RN Staffing Hours per Resident per Day
0.22245
Adjusted Total Nurse Staffing Hours per Resident per Day
2.96466
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
2013-05-23
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
4.00000
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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