Park Nursing Home - Rockaway Park Nursing Home
General Information
UPDATEFederal Provider Number
335093
Provider Name
PARK NURSING HOME
Provider Address
128 BEACH 115TH STREET
ROCKAWAY PARK, NY 11694
ROCKAWAY PARK, NY 11694
Provider Phone Number
7184746400
Provider SSA County
590
Provider County Name
Queens
Ownership Type
For profit - Individual
Number of Certified Beds
196
Number of Residents in Certified Beds
183
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARK HOUSE CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
Partial
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
1.42514
Reported LPN Staffing Hours per Resident per Day
0.62295
Reported RN Staffing Hours per Resident per Day
0.32186
Reported Licensed Staffing Hours per Resident per Day
0.94481
Reported Total Nurse Staffing Hours per Resident per Day
2.36995
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04536
Expected CNA Staffing Hours per Resident per Day
1.95407
Expected LPN Staffing Hours per Resident per Day
0.59197
Expected RN Staffing Hours per Resident per Day
0.93926
Expected Total Nurse Staffing Hours per Resident per Day
3.48530
Adjusted CNA Staffing Hours per Resident per Day
1.78953
Adjusted LPN Staffing Hours per Resident per Day
0.87343
Adjusted RN Staffing Hours per Resident per Day
0.25605
Adjusted Total Nurse Staffing Hours per Resident per Day
2.74095
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-29
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-02-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
5550
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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