Saints Joachim & Anne Nursing And Rehab Ctr - Brooklyn Nursing Home
General Information
UPDATEFederal Provider Number
335748
Provider Name
SAINTS JOACHIM & ANNE NURSING AND REHAB CTR
Provider Address
2720 SURF AVENUE
BROOKLYN, NY 11224
BROOKLYN, NY 11224
Provider Phone Number
(718) 714-4800
Provider SSA County
331
Provider County Name
Kings
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
200
Number of Residents in Certified Beds
181
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SS JOACHIM & ANNE RESIDENCE
Date First Approved to Provide Medicare and Medicaid services
1991-02-04
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60580
Reported LPN Staffing Hours per Resident per Day
0.72017
Reported RN Staffing Hours per Resident per Day
0.62293
Reported Licensed Staffing Hours per Resident per Day
1.34309
Reported Total Nurse Staffing Hours per Resident per Day
3.94890
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06768
Expected CNA Staffing Hours per Resident per Day
2.58559
Expected LPN Staffing Hours per Resident per Day
0.73819
Expected RN Staffing Hours per Resident per Day
1.23213
Expected Total Nurse Staffing Hours per Resident per Day
4.55590
Adjusted CNA Staffing Hours per Resident per Day
2.47288
Adjusted LPN Staffing Hours per Resident per Day
0.80974
Adjusted RN Staffing Hours per Resident per Day
0.37776
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49385
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
2014-10-09
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
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-10-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
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
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
22.00000
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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