Victoria Home - Ossining Nursing Home
General Information
UPDATEFederal Provider Number
335714
Provider Name
VICTORIA HOME
Provider Address
25 N MALCOLM STREET
OSSINING, NY 10562
OSSINING, NY 10562
Provider Phone Number
(914) 941-2450
Provider SSA County
800
Provider County Name
Westchester
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VICTORIA HOME
Date First Approved to Provide Medicare and Medicaid services
1992-06-05
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.08261
Reported LPN Staffing Hours per Resident per Day
0.26087
Reported RN Staffing Hours per Resident per Day
1.31848
Reported Licensed Staffing Hours per Resident per Day
1.57935
Reported Total Nurse Staffing Hours per Resident per Day
4.66196
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12065
Expected CNA Staffing Hours per Resident per Day
2.67824
Expected LPN Staffing Hours per Resident per Day
0.72959
Expected RN Staffing Hours per Resident per Day
1.09134
Expected Total Nurse Staffing Hours per Resident per Day
4.49916
Adjusted CNA Staffing Hours per Resident per Day
2.82417
Adjusted LPN Staffing Hours per Resident per Day
0.29677
Adjusted RN Staffing Hours per Resident per Day
0.90272
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17675
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
2015-05-08
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-05-30
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-05-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
0.66700
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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