Silver Lake Specialized Rehab And Care Center - Staten Island Nursing Home
General Information
UPDATEFederal Provider Number
335196
Provider Name
SILVER LAKE SPECIALIZED REHAB AND CARE CENTER
Provider Address
275 CASTLETON AVENUE
STATEN ISLAND, NY 10301
STATEN ISLAND, NY 10301
Provider Phone Number
(718) 447-7800
Provider SSA County
610
Provider County Name
Richmond
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
278
Number of Residents in Certified Beds
253
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SILVER LAKE SPECIALIZED
Date First Approved to Provide Medicare and Medicaid services
1971-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.89625
Reported LPN Staffing Hours per Resident per Day
0.62134
Reported RN Staffing Hours per Resident per Day
0.76561
Reported Licensed Staffing Hours per Resident per Day
1.38696
Reported Total Nurse Staffing Hours per Resident per Day
4.28320
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06581
Expected CNA Staffing Hours per Resident per Day
2.55485
Expected LPN Staffing Hours per Resident per Day
0.83659
Expected RN Staffing Hours per Resident per Day
1.32542
Expected Total Nurse Staffing Hours per Resident per Day
4.71686
Adjusted CNA Staffing Hours per Resident per Day
2.78158
Adjusted LPN Staffing Hours per Resident per Day
0.61644
Adjusted RN Staffing Hours per Resident per Day
0.43161
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66031
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
2014-06-06
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
1
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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