Williamsbridge Manor N H - Bronx Nursing Home
General Information
UPDATEFederal Provider Number
335048
Provider Name
WILLIAMSBRIDGE MANOR N H
Provider Address
1540 TOMLINSON AVENUE
BRONX, NY 10461
BRONX, NY 10461
Provider Phone Number
7188926600
Provider SSA County
20
Provider County Name
Bronx
Ownership Type
For profit - Individual
Number of Certified Beds
77
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLIAMSBRIDGE MANOR NURSING HOME, LLC
Date First Approved to Provide Medicare and Medicaid services
1969-05-16
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.80282
Reported LPN Staffing Hours per Resident per Day
0.82887
Reported RN Staffing Hours per Resident per Day
0.78592
Reported Licensed Staffing Hours per Resident per Day
1.61479
Reported Total Nurse Staffing Hours per Resident per Day
4.41761
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12887
Expected CNA Staffing Hours per Resident per Day
2.24502
Expected LPN Staffing Hours per Resident per Day
0.66915
Expected RN Staffing Hours per Resident per Day
1.05626
Expected Total Nurse Staffing Hours per Resident per Day
3.97043
Adjusted CNA Staffing Hours per Resident per Day
3.06335
Adjusted LPN Staffing Hours per Resident per Day
1.02811
Adjusted RN Staffing Hours per Resident per Day
0.55596
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48489
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
2015-03-06
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
2014-03-07
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
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
2013-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
3.33300
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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Kings Harbor Multicare Center
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