Windsor Park Nursing Home - Queens Village Nursing Home

General Information

UPDATE
Federal Provider Number
335155
Provider Name
WINDSOR PARK NURSING HOME
Provider Address
212 40 HILLSIDE AVENUE
QUEENS VILLAGE, NY 11427
Provider Phone Number
(718) 468-0800
Provider SSA County
590
Provider County Name
Queens
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR PARK NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-07-13
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
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11538
Reported LPN Staffing Hours per Resident per Day
0.75077
Reported RN Staffing Hours per Resident per Day
0.63769
Reported Licensed Staffing Hours per Resident per Day
1.38846
Reported Total Nurse Staffing Hours per Resident per Day
3.50384
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08769
Expected CNA Staffing Hours per Resident per Day
2.70716
Expected LPN Staffing Hours per Resident per Day
0.75559
Expected RN Staffing Hours per Resident per Day
1.19765
Expected Total Nurse Staffing Hours per Resident per Day
4.66041
Adjusted CNA Staffing Hours per Resident per Day
1.91732
Adjusted LPN Staffing Hours per Resident per Day
0.82470
Adjusted RN Staffing Hours per Resident per Day
0.39785
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03056
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
2015-04-09
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
2014-04-04
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-04-24
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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