Summit Park Nursing Care Center - Pomona Nursing Home
General Information
UPDATEFederal Provider Number
335260
Provider Name
SUMMIT PARK NURSING CARE CENTER
Provider Address
SANATORIUM ROAD
POMONA, NY 10970
POMONA, NY 10970
Provider Phone Number
8453642700
Provider SSA County
620
Provider County Name
Rockland
Ownership Type
Government - City/county
Number of Certified Beds
341
Number of Residents in Certified Beds
189
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF ROCKLAND
Date First Approved to Provide Medicare and Medicaid services
1968-05-21
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
2
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
3.16905
Reported LPN Staffing Hours per Resident per Day
0.47487
Reported RN Staffing Hours per Resident per Day
0.66508
Reported Licensed Staffing Hours per Resident per Day
1.13995
Reported Total Nurse Staffing Hours per Resident per Day
4.30900
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06111
Expected CNA Staffing Hours per Resident per Day
2.47972
Expected LPN Staffing Hours per Resident per Day
0.65658
Expected RN Staffing Hours per Resident per Day
0.94839
Expected Total Nurse Staffing Hours per Resident per Day
4.08469
Adjusted CNA Staffing Hours per Resident per Day
3.13579
Adjusted LPN Staffing Hours per Resident per Day
0.60030
Adjusted RN Staffing Hours per Resident per Day
0.52399
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25226
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
32
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
14.66700
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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