The Amsterdam At Harborside - Port Washington Nursing Home
General Information
UPDATEFederal Provider Number
335861
Provider Name
THE AMSTERDAM AT HARBORSIDE
Provider Address
300 EAST OVERLOOK
PORT WASHINGTON, NY 11050
PORT WASHINGTON, NY 11050
Provider Phone Number
(516) 472-6610
Provider SSA County
400
Provider County Name
Nassau
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC.
Date First Approved to Provide Medicare and Medicaid services
2011-03-08
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.74000
Reported LPN Staffing Hours per Resident per Day
0.65273
Reported RN Staffing Hours per Resident per Day
1.59091
Reported Licensed Staffing Hours per Resident per Day
2.24364
Reported Total Nurse Staffing Hours per Resident per Day
4.98364
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21545
Expected CNA Staffing Hours per Resident per Day
2.52473
Expected LPN Staffing Hours per Resident per Day
0.60645
Expected RN Staffing Hours per Resident per Day
1.13069
Expected Total Nurse Staffing Hours per Resident per Day
4.26187
Adjusted CNA Staffing Hours per Resident per Day
2.66292
Adjusted LPN Staffing Hours per Resident per Day
0.89333
Adjusted RN Staffing Hours per Resident per Day
1.05133
Adjusted Total Nurse Staffing Hours per Resident per Day
4.71355
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
2015-02-13
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
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
3
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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