Woodbury Center For Health Care - Woodbury Nursing Home
General Information
UPDATEFederal Provider Number
335231
Provider Name
WOODBURY CENTER FOR HEALTH CARE
Provider Address
8533 JERICHO TPKE
WOODBURY, NY 11797
WOODBURY, NY 11797
Provider Phone Number
(516) 692-4100
Provider SSA County
400
Provider County Name
Nassau
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
123
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXCEL AT WOODBURY FOR REHABILITATION AND NURSING LLC
Date First Approved to Provide Medicare and Medicaid services
1968-04-19
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
4
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
2.68874
Reported LPN Staffing Hours per Resident per Day
0.92342
Reported RN Staffing Hours per Resident per Day
0.90946
Reported Licensed Staffing Hours per Resident per Day
1.83288
Reported Total Nurse Staffing Hours per Resident per Day
4.52162
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14189
Expected CNA Staffing Hours per Resident per Day
2.51214
Expected LPN Staffing Hours per Resident per Day
0.66811
Expected RN Staffing Hours per Resident per Day
1.22190
Expected Total Nurse Staffing Hours per Resident per Day
4.40215
Adjusted CNA Staffing Hours per Resident per Day
2.62619
Adjusted LPN Staffing Hours per Resident per Day
1.14718
Adjusted RN Staffing Hours per Resident per Day
0.55614
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14030
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-03-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
16
Cycle 2 Standard Health Survey Date
2013-03-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-03-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
12.00000
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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