| General |
| City |
| Staten Island |
Queens Village |
| State attribute explanation |
| Ny |
Ny |
| Street |
| 150 Lily Pond Ave |
212 40 Hillside Avenue |
| Zip Code |
| 10,305 |
11,427 |
| Phone |
| 7,189,815,300 |
7,184,680,800 |
|
Overall Star Rating |
| 3 |
5 |
|
Health Inspections Star Rating |
| 4 |
5 |
|
Nurse Staffing Star Rating |
| 1 |
1 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 1 |
1 |
|
Number of Certified Beds |
| 35 |
70 |
|
Total Number of Residents |
| 32 |
63 |
|
Percent of Occupied Beds |
| 91 % |
90 % |
| Health Survey Date |
| 3/16/2011 |
5/24/2012 |
| Fire Survey Date |
| 3/16/2011 |
5/24/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Partnership |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 2 |
|
|
| Staff Information |
| Number of Residents |
| 32 |
63 |
| Number of RN Hours Per Resident Per Day |
| 0.21 |
0.35 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.59 |
0.31 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 0.8 |
0.66 |
| Number of CNA Hours Per Resident Per Day |
| 75.2 |
0.06 |
| Number Therapy Hours Per Resident Per Day |
|
0.06 |
| Environmental Deficiencies |
| Deficiency #1 |
| 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 |
|
| 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 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
38.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
19.6 % |
| Percent of long-stay residents who lose too much weight |
|
3.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
1.1 % |
| Percent of long-stay residents with a urinary tract infection |
|
1.6 % |
| Percent of long-stay residents who have depressive symptoms |
|
75.2 % |
| Percent of long-stay residents who were physically restrained |
|
75.2 % |
| 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 |
|
1.6 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
|
37 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
|
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 0.9 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
15.9:1 |
| Percent of long-stay residents who lose too much weight |
| 75.2 % |
5.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 26.2 % |
27.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
0.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
4.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 3.4 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.8 % |
0.5 - 2.0 |
| Percent of short-stay residents who self-report moderate to severe pain |
|
75.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
63 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
50 % |