South Shore Rehabilitation And Nursing Center - Freeport Nursing Home
General Information
UPDATEFederal Provider Number
335156
Provider Name
SOUTH SHORE REHABILITATION AND NURSING CENTER
Provider Address
275 W MERRICK ROAD
FREEPORT, NY 11520
FREEPORT, NY 11520
Provider Phone Number
(516) 623-4000
Provider SSA County
400
Provider County Name
Nassau
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH SHORE REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid services
1979-09-18
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.66090
Reported LPN Staffing Hours per Resident per Day
1.11154
Reported RN Staffing Hours per Resident per Day
2.17051
Reported Licensed Staffing Hours per Resident per Day
3.28205
Reported Total Nurse Staffing Hours per Resident per Day
5.94295
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13974
Expected CNA Staffing Hours per Resident per Day
2.74081
Expected LPN Staffing Hours per Resident per Day
0.96094
Expected RN Staffing Hours per Resident per Day
1.59262
Expected Total Nurse Staffing Hours per Resident per Day
5.29437
Adjusted CNA Staffing Hours per Resident per Day
2.38216
Adjusted LPN Staffing Hours per Resident per Day
0.96008
Adjusted RN Staffing Hours per Resident per Day
1.01832
Adjusted Total Nurse Staffing Hours per Resident per Day
4.52470
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-04-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-03-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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