Peconic Bay Skilled Nursing Facility - Riverhead Nursing Home
General Information
UPDATEFederal Provider Number
335688
Provider Name
PECONIC BAY SKILLED NURSING FACILITY
Provider Address
1300 ROANOKE AVENUE
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
Provider Phone Number
(631) 548-6261
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CENTRAL SUFFOLK HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1988-03-11
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.63148
Reported LPN Staffing Hours per Resident per Day
1.30926
Reported RN Staffing Hours per Resident per Day
1.25000
Reported Licensed Staffing Hours per Resident per Day
2.55926
Reported Total Nurse Staffing Hours per Resident per Day
5.19074
Reported Physical Therapist Staffing Hours per Resident Per Day
0.33704
Expected CNA Staffing Hours per Resident per Day
2.43049
Expected LPN Staffing Hours per Resident per Day
0.68038
Expected RN Staffing Hours per Resident per Day
1.26202
Expected Total Nurse Staffing Hours per Resident per Day
4.37290
Adjusted CNA Staffing Hours per Resident per Day
2.65660
Adjusted LPN Staffing Hours per Resident per Day
1.59717
Adjusted RN Staffing Hours per Resident per Day
0.74008
Adjusted Total Nurse Staffing Hours per Resident per Day
4.78478
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
2014-09-22
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-09-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
6.66700
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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