Staten Island Care Center - Staten Island Nursing Home
General Information
UPDATEFederal Provider Number
335561
Provider Name
STATEN ISLAND CARE CENTER
Provider Address
200 LAFAYETTE AVENUE
STATEN ISLAND, NY 10301
STATEN ISLAND, NY 10301
Provider Phone Number
(718) 448-9000
Provider SSA County
610
Provider County Name
Richmond
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
300
Number of Residents in Certified Beds
282
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STATEN ISLAND CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1976-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.69734
Reported LPN Staffing Hours per Resident per Day
0.84858
Reported RN Staffing Hours per Resident per Day
0.34291
Reported Licensed Staffing Hours per Resident per Day
1.19149
Reported Total Nurse Staffing Hours per Resident per Day
2.88883
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05230
Expected CNA Staffing Hours per Resident per Day
2.26379
Expected LPN Staffing Hours per Resident per Day
0.60353
Expected RN Staffing Hours per Resident per Day
0.97753
Expected Total Nurse Staffing Hours per Resident per Day
3.84484
Adjusted CNA Staffing Hours per Resident per Day
1.83973
Adjusted LPN Staffing Hours per Resident per Day
1.16701
Adjusted RN Staffing Hours per Resident per Day
0.26211
Adjusted Total Nurse Staffing Hours per Resident per Day
3.02862
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
7
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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