Suffolk Center For Rehabilitation And Nrsg - Patchogue Nursing Home
General Information
UPDATEFederal Provider Number
335596
Provider Name
SUFFOLK CENTER FOR REHABILITATION AND NRSG
Provider Address
25 SCHOENFELD BLVD
PATCHOGUE, NY 11772
PATCHOGUE, NY 11772
Provider Phone Number
(631) 289-7700
Provider SSA County
700
Provider County Name
Suffolk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUFFOLK CENTER RECEIVER LLC
Date First Approved to Provide Medicare and Medicaid services
1977-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.76106
Reported LPN Staffing Hours per Resident per Day
1.07212
Reported RN Staffing Hours per Resident per Day
0.82876
Reported Licensed Staffing Hours per Resident per Day
1.90088
Reported Total Nurse Staffing Hours per Resident per Day
4.66194
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14159
Expected CNA Staffing Hours per Resident per Day
2.39638
Expected LPN Staffing Hours per Resident per Day
0.69607
Expected RN Staffing Hours per Resident per Day
1.15945
Expected Total Nurse Staffing Hours per Resident per Day
4.25190
Adjusted CNA Staffing Hours per Resident per Day
2.82711
Adjusted LPN Staffing Hours per Resident per Day
1.27840
Adjusted RN Staffing Hours per Resident per Day
0.53409
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41963
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-09-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
840
Cycle 2 Standard Health Survey Date
2013-10-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
840
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
306.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
36661
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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