Woodcrest Rehab & Residential H C Center L L C - Flushing Nursing Home

General Information

UPDATE
Federal Provider Number
335266
Provider Name
WOODCREST REHAB & RESIDENTIAL H C CENTER L L C
Provider Address
119 09 26TH AVENUE
FLUSHING, NY 11354
Provider Phone Number
7187626100
Provider SSA County
590
Provider County Name
Queens
Ownership Type
For profit - Partnership
Number of Certified Beds
200
Number of Residents in Certified Beds
188
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODCREST REHAB&RESIDENTIAL HCC
Date First Approved to Provide Medicare and Medicaid services
1970-06-15
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.96755
Reported LPN Staffing Hours per Resident per Day
0.68511
Reported RN Staffing Hours per Resident per Day
0.41356
Reported Licensed Staffing Hours per Resident per Day
1.09867
Reported Total Nurse Staffing Hours per Resident per Day
3.06622
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08777
Expected CNA Staffing Hours per Resident per Day
2.41964
Expected LPN Staffing Hours per Resident per Day
0.63281
Expected RN Staffing Hours per Resident per Day
1.01754
Expected Total Nurse Staffing Hours per Resident per Day
4.06998
Adjusted CNA Staffing Hours per Resident per Day
1.99525
Adjusted LPN Staffing Hours per Resident per Day
0.89860
Adjusted RN Staffing Hours per Resident per Day
0.30369
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03678
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
20
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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