| General |
| City |
| Briarcliff Manor |
Staten Island |
| State attribute explanation |
| Ny |
Ny |
| Street |
| 620 Sleepy Hollow Road |
150 Lily Pond Ave |
| Zip Code |
| 10,510 |
10,305 |
| Phone |
| 9,149,415,100 |
7,189,815,300 |
|
Overall Star Rating |
| 1 |
3 |
|
Health Inspections Star Rating |
| 2 |
4 |
|
Nurse Staffing Star Rating |
| 1 |
1 |
|
Quality Measures Star Rating |
| 3 |
4 |
|
RN Only Star Rating |
| 1 |
1 |
|
Number of Certified Beds |
| 131 |
35 |
|
Total Number of Residents |
| 110 |
32 |
|
Percent of Occupied Beds |
| 84 % |
91 % |
| Health Survey Date |
| 4/6/2012 |
3/16/2011 |
| Fire Survey Date |
| 4/6/2012 |
3/16/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 2 |
75.2 |
| Total Enforcement Actions Count |
| 2 |
75.2 |
| # of deficiencies |
| 3 |
2 |
|
| Staff Information |
| Number of Residents |
| 110 |
32 |
| Number of RN Hours Per Resident Per Day |
| 0.32 |
0.21 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.93 |
0.59 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.25 |
0.8 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
75.2 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
|
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 09/02/2009date Of Correction: 09/30/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/26/2010date Of Correction: 03/08/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 05/05/2010date Of Correction: 06/10/2010 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 01/26/2010date Of Correction: 03/08/2010 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 09/02/2009date Of Correction: 09/30/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 37.6 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 6.8 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.4 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 12.1:1 |
|
| Percent of long-stay residents who lose too much weight |
| 8.5 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 28.3 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 11.3 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 0.9 % |
|
| Percent of long-stay residents who were physically restrained |
| 13.8 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 8.3 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.5 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 67.9 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.9 % |
|
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 33.3 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.5 % |
0.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.2-20 |
|
| Percent of long-stay residents who lose too much weight |
| 7.1 % |
75.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 28 % |
26.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.6 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.5 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.6 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 9.3 % |
3.4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.8 % |
6.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.5 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 66.7 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 52 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.7 % |
|