Sunharbor Manor - Roslyn Heights Nursing Home

General Information

UPDATE

Federal Provider Number

335559

Provider Name

SUNHARBOR MANOR

Provider Address

255 WARNER AVENUE
ROSLYN HEIGHTS, NY 11577

Provider Phone Number

(516) 621-5400

Provider SSA County

400

Provider County Name

Nassau

Provider Website

Provider Description

Ownership Type

For profit - Corporation

Number of Certified Beds

266

Number of Residents in Certified Beds

250

Provider Type

Medicare and Medicaid

Provider Resides in Hospital

Legal Business Name

SUNHARBOR ACQUISITION I , LLC

Date First Approved to Provide Medicare and Medicaid services

1975-07-15

Continuing Care Retirement Community

Special Focus Facility

Provider Changed Ownership in Last 12 Months

With a Resident and Family Council

Both

Automatic Sprinkler Systems in All Required Areas

Yes

Rating Detail Information

Overall Rating

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Health Inspection Rating

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QM Rating

QM Rating Footnote

Staffing Rating

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RN Staffing Rating

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Reported Staffing Footnote

Physical Therapist Staffing Footnote

Reported CNA Staffing Hours per Resident per Day

2.36560

Reported LPN Staffing Hours per Resident per Day

0.79120

Reported RN Staffing Hours per Resident per Day

0.48740

Reported Licensed Staffing Hours per Resident per Day

1.27860

Reported Total Nurse Staffing Hours per Resident per Day

3.64420

Reported Physical Therapist Staffing Hours per Resident Per Day

0.06720

Expected CNA Staffing Hours per Resident per Day

2.63764

Expected LPN Staffing Hours per Resident per Day

0.75284

Expected RN Staffing Hours per Resident per Day

1.28212

Expected Total Nurse Staffing Hours per Resident per Day

4.67261

Adjusted CNA Staffing Hours per Resident per Day

2.20063

Adjusted LPN Staffing Hours per Resident per Day

0.87229

Adjusted RN Staffing Hours per Resident per Day

0.28405

Adjusted Total Nurse Staffing Hours per Resident per Day

3.14373

Cycle 1 Total Number of Health Deficiencies

Cycle 1 Number of Standard Health Deficiencies

Cycle 1 Number of Complaint Health Deficiencies

Cycle 1 Health Deficiency Score

Cycle 1 Standard Survey Health Date

2015-02-25

Cycle 1 Number of Health Revisits

Cycle 1 Health Revisit Score

Cycle 1 Total Health Score

Cycle 2 Total Number of Health Deficiencies

Cycle 2 Number of Standard Health Deficiencies

Cycle 2 Number of Complaint Health Deficiencies

Cycle 2 Health Deficiency Score

Cycle 2 Standard Health Survey Date

2014-02-25

Cycle 2 Number of Health Revisits

Cycle 2 Health Revisit Score

Cycle 2 Total Health Score

Cycle 3 Total Number of Health Deficiencies

Cycle 3 Number of Standard Health Deficiencies

Cycle 3 Number of Complaint Health Deficiencies

Cycle 3 Health Deficiency Score

Cycle 3 Standard Health Survey Date

2013-03-11

Cycle 3 Number of Health Revisits

Cycle 3 Health Revisit Score

Cycle 3 Total Health Score

Total Weighted Health Survey Score

16.00000

Number of Facility Reported Incidents

Number of Substantiated Complaints

Number of Fines

Total Amount of Fines in Dollars

Number of Payment Denials

Total Number of Penalties

Location

Processing Date

2015-06-01

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