| General |
| City |
| Queens Village |
Woodbury |
| State attribute explanation |
| Ny |
Ny |
| Street |
| 212 40 Hillside Avenue |
8533 Jericho Tpke |
| Zip Code |
| 11,427 |
11,797 |
| Phone |
| 7,184,680,800 |
5,166,924,100 |
|
Overall Star Rating |
| 5 |
3 |
|
Health Inspections Star Rating |
| 5 |
4 |
|
Nurse Staffing Star Rating |
| 1 |
1 |
|
Quality Measures Star Rating |
| 5 |
4 |
|
RN Only Star Rating |
| 1 |
1 |
|
Number of Certified Beds |
| 70 |
123 |
| Total Number of Residents |
| 63 |
102 |
|
Percent of Occupied Beds |
| 90 % |
83 % |
| Health Survey Date |
| 5/24/2012 |
3/16/2012 |
| Fire Survey Date |
| 5/24/2012 |
3/16/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Partnership |
| 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 |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
1 |
|
| Staff Information |
| Number of Residents |
| 63 |
102 |
| Number of RN Hours Per Resident Per Day |
| 0.35 |
0.32 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.31 |
0.68 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 0.66 |
1 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.06 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.06 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 1deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.survey Date: 10/22/2010date Of Correction: 10/22/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 38.1 % |
33 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
|
3.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
4.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 19.6 % |
7.6 % |
| Percent of long-stay residents who lose too much weight |
| 3.2 % |
6.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.1 % |
3.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.6 % |
7.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
11.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
97.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
96.3 % |
| 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 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 37 % |
34.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
2.5 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
5.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 15.9:1 |
6.2 % |
| Percent of long-stay residents who lose too much weight |
| 5.8 % |
9.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 27.3 % |
35.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 0.8 % |
4.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.2 % |
7.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
0.4 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.5 - 2.0 |
1.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 75.2 % |
8.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 63 % |
97.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 50 % |
94.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
|
2.20 % |