Peconic Landing At Southold Inc - Greenport Nursing Home
General Information
UPDATEFederal Provider Number
335842
Provider Name
PECONIC LANDING AT SOUTHOLD INC
Provider Address
1500 BRECKNOCK ROAD
GREENPORT, NY 11944
GREENPORT, NY 11944
Provider Phone Number
(631) 477-3800
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PECONIC LANDING AT SOUTHOLD INC
Date First Approved to Provide Medicare and Medicaid services
2003-03-24
Continuing Care Retirement Community
Y
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
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
2.61410
Reported LPN Staffing Hours per Resident per Day
0.81410
Reported RN Staffing Hours per Resident per Day
1.08974
Reported Licensed Staffing Hours per Resident per Day
1.90385
Reported Total Nurse Staffing Hours per Resident per Day
4.51794
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13974
Expected CNA Staffing Hours per Resident per Day
2.53663
Expected LPN Staffing Hours per Resident per Day
0.63179
Expected RN Staffing Hours per Resident per Day
0.91157
Expected Total Nurse Staffing Hours per Resident per Day
4.08000
Adjusted CNA Staffing Hours per Resident per Day
2.52863
Adjusted LPN Staffing Hours per Resident per Day
1.06950
Adjusted RN Staffing Hours per Resident per Day
0.89324
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46357
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
2014-11-25
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-09-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
3.33300
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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