Pine Valley Center For Rehab And Nursing - Spring Valley Nursing Home

General Information

UPDATE
Federal Provider Number
335285
Provider Name
PINE VALLEY CENTER FOR REHAB AND NURSING
Provider Address
661 N MAIN ST
SPRING VALLEY, NY 10977
Provider Phone Number
8453560567
Provider SSA County
620
Provider County Name
Rockland
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
194
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINE VALLEY CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1969-05-14
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.72423
Reported LPN Staffing Hours per Resident per Day
1.18144
Reported RN Staffing Hours per Resident per Day
1.10722
Reported Licensed Staffing Hours per Resident per Day
2.28866
Reported Total Nurse Staffing Hours per Resident per Day
6.01289
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13428
Expected CNA Staffing Hours per Resident per Day
2.54526
Expected LPN Staffing Hours per Resident per Day
0.79051
Expected RN Staffing Hours per Resident per Day
1.28316
Expected Total Nurse Staffing Hours per Resident per Day
4.61893
Adjusted CNA Staffing Hours per Resident per Day
3.59026
Adjusted LPN Staffing Hours per Resident per Day
1.24047
Adjusted RN Staffing Hours per Resident per Day
0.64475
Adjusted Total Nurse Staffing Hours per Resident per Day
5.24740
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-02-10
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-05-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
7.33300
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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Ramapo Manor Ctr For Rehab & Nursing

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Nyack Manor Nursing Home

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Northern Riverview Health Care

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Helen Hayes Hospital Residential Health Care Fac

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Tolstoy Foundation Rehabilitation & Nursing Center

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