Peninsula Nursing And Rehabilitation Center - Far Rockaway Nursing Home
General Information
UPDATEFederal Provider Number
335387
Provider Name
PENINSULA NURSING AND REHABILITATION CENTER
Provider Address
50 15 BEACH CHANNEL DRIVE
FAR ROCKAWAY, NY 11691
FAR ROCKAWAY, NY 11691
Provider Phone Number
(718) 734-2000
Provider SSA County
590
Provider County Name
Queens
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
186
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARDIFF BAY CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1973-04-18
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
1.85672
Reported LPN Staffing Hours per Resident per Day
0.68360
Reported RN Staffing Hours per Resident per Day
0.32097
Reported Licensed Staffing Hours per Resident per Day
1.00457
Reported Total Nurse Staffing Hours per Resident per Day
2.86129
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18091
Expected CNA Staffing Hours per Resident per Day
2.38894
Expected LPN Staffing Hours per Resident per Day
0.66015
Expected RN Staffing Hours per Resident per Day
1.18087
Expected Total Nurse Staffing Hours per Resident per Day
4.22996
Adjusted CNA Staffing Hours per Resident per Day
1.90706
Adjusted LPN Staffing Hours per Resident per Day
0.85948
Adjusted RN Staffing Hours per Resident per Day
0.20310
Adjusted Total Nurse Staffing Hours per Resident per Day
2.72664
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
72.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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