St Johnland Nursing Center Inc - Kings Park Nursing Home
General Information
UPDATEFederal Provider Number
335487
Provider Name
ST JOHNLAND NURSING CENTER INC
Provider Address
395 SUNKEN MEADOW ROAD
KINGS PARK, NY 11754
KINGS PARK, NY 11754
Provider Phone Number
(631) 269-5800
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
250
Number of Residents in Certified Beds
245
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. JOHNLAND NURSING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1975-12-27
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
4
Health Inspection Rating Footnote
QM Rating
4
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
2.16939
Reported LPN Staffing Hours per Resident per Day
0.89633
Reported RN Staffing Hours per Resident per Day
0.57347
Reported Licensed Staffing Hours per Resident per Day
1.46980
Reported Total Nurse Staffing Hours per Resident per Day
3.63919
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09041
Expected CNA Staffing Hours per Resident per Day
2.53456
Expected LPN Staffing Hours per Resident per Day
0.64528
Expected RN Staffing Hours per Resident per Day
1.01986
Expected Total Nurse Staffing Hours per Resident per Day
4.19970
Adjusted CNA Staffing Hours per Resident per Day
2.10018
Adjusted LPN Staffing Hours per Resident per Day
1.15292
Adjusted RN Staffing Hours per Resident per Day
0.42015
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49292
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
2015-01-09
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-01-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
12
Cycle 3 Standard Health Survey Date
2013-01-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.00000
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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