Sunrise Manor Ctr For Nursing - Bay Shore Nursing Home
General Information
UPDATEFederal Provider Number
335568
Provider Name
SUNRISE MANOR CTR FOR NURSING
Provider Address
1325 BRENTWOOD ROAD
BAY SHORE, NY 11706
BAY SHORE, NY 11706
Provider Phone Number
6316654960
Provider SSA County
700
Provider County Name
Suffolk
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNRISE MANOR NURSING HOME, INC.
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.14744
Reported LPN Staffing Hours per Resident per Day
0.90449
Reported RN Staffing Hours per Resident per Day
0.42115
Reported Licensed Staffing Hours per Resident per Day
1.32564
Reported Total Nurse Staffing Hours per Resident per Day
3.47308
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05513
Expected CNA Staffing Hours per Resident per Day
2.60187
Expected LPN Staffing Hours per Resident per Day
0.76005
Expected RN Staffing Hours per Resident per Day
1.36307
Expected Total Nurse Staffing Hours per Resident per Day
4.72499
Adjusted CNA Staffing Hours per Resident per Day
2.02515
Adjusted LPN Staffing Hours per Resident per Day
0.98774
Adjusted RN Staffing Hours per Resident per Day
0.23086
Adjusted Total Nurse Staffing Hours per Resident per Day
2.96289
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-12
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
18.00000
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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