Park Manor Rehab & Health Care - Middletown Nursing Home
General Information
UPDATEFederal Provider Number
335655
Provider Name
PARK MANOR REHAB & HEALTH CARE
Provider Address
121 DUNNING ROAD
MIDDLETOWN, NY 10940
MIDDLETOWN, NY 10940
Provider Phone Number
(845) 343-0801
Provider SSA County
540
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
230
Number of Residents in Certified Beds
218
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARK MANOR ACQUISITION II LLC
Date First Approved to Provide Medicare and Medicaid services
1982-06-28
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.27133
Reported LPN Staffing Hours per Resident per Day
1.03188
Reported RN Staffing Hours per Resident per Day
0.60046
Reported Licensed Staffing Hours per Resident per Day
1.63234
Reported Total Nurse Staffing Hours per Resident per Day
3.90367
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09037
Expected CNA Staffing Hours per Resident per Day
2.54468
Expected LPN Staffing Hours per Resident per Day
0.71683
Expected RN Staffing Hours per Resident per Day
1.29556
Expected Total Nurse Staffing Hours per Resident per Day
4.55707
Adjusted CNA Staffing Hours per Resident per Day
2.19012
Adjusted LPN Staffing Hours per Resident per Day
1.19479
Adjusted RN Staffing Hours per Resident per Day
0.34631
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45294
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2013-08-15
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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