St Vincent De Paul Residence - Bronx Nursing Home
General Information
UPDATEFederal Provider Number
335763
Provider Name
ST VINCENT DE PAUL RESIDENCE
Provider Address
900 INTERVALE AVENUE
BRONX, NY 10459
BRONX, NY 10459
Provider Phone Number
(718) 589-6965
Provider SSA County
20
Provider County Name
Bronx
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
200
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST VINCENT DE PAUL RESIDENCE
Date First Approved to Provide Medicare and Medicaid services
1992-10-29
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
1.94195
Reported LPN Staffing Hours per Resident per Day
0.65678
Reported RN Staffing Hours per Resident per Day
0.50297
Reported Licensed Staffing Hours per Resident per Day
1.15975
Reported Total Nurse Staffing Hours per Resident per Day
3.10170
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09703
Expected CNA Staffing Hours per Resident per Day
2.50644
Expected LPN Staffing Hours per Resident per Day
0.68442
Expected RN Staffing Hours per Resident per Day
1.09539
Expected Total Nurse Staffing Hours per Resident per Day
4.28624
Adjusted CNA Staffing Hours per Resident per Day
1.90109
Adjusted LPN Staffing Hours per Resident per Day
0.79648
Adjusted RN Staffing Hours per Resident per Day
0.34309
Adjusted Total Nurse Staffing Hours per Resident per Day
2.91692
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-12-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-17
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-12-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
27.33300
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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