Richmond Center For Rehab And Specialty H C - Staten Island Nursing Home
General Information
UPDATEFederal Provider Number
335772
Provider Name
RICHMOND CENTER FOR REHAB AND SPECIALTY H C
Provider Address
91 TOMPKINS AVENUE
STATEN ISLAND, NY 10304
STATEN ISLAND, NY 10304
Provider Phone Number
(718) 876-1200
Provider SSA County
610
Provider County Name
Richmond
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
300
Number of Residents in Certified Beds
274
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SV OPERATING THREE LLC
Date First Approved to Provide Medicare and Medicaid services
1994-01-14
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
Partial
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.06734
Reported LPN Staffing Hours per Resident per Day
1.58704
Reported RN Staffing Hours per Resident per Day
0.54562
Reported Licensed Staffing Hours per Resident per Day
2.13266
Reported Total Nurse Staffing Hours per Resident per Day
6.20000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05420
Expected CNA Staffing Hours per Resident per Day
2.02135
Expected LPN Staffing Hours per Resident per Day
0.66261
Expected RN Staffing Hours per Resident per Day
1.05582
Expected Total Nurse Staffing Hours per Resident per Day
3.73979
Adjusted CNA Staffing Hours per Resident per Day
4.93730
Adjusted LPN Staffing Hours per Resident per Day
1.98796
Adjusted RN Staffing Hours per Resident per Day
0.38613
Adjusted Total Nurse Staffing Hours per Resident per Day
6.68262
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-04-04
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-03-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
4
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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