Hollis Park Manor Nursing Home
Hollis Park Manor Nursing Home Information
| Facility Name | Hollis Park Manor Nursing Home |
| Location | 191 06 Hillside Avenue, Hollis, NY 11423 |
| County (SSA Code) | Queens (590) |
| Phone Number | 718-479-1010 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 80 |
| Average Number of Residents | 62.4 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | HOLLIS PARK MANOR NURSING HOME INC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1971-09-14 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.08555 |
| Reported LPN Staffing Hours per Resident per Day | 0.74674 |
| Reported RN Staffing - Hours per Resident per Day | 0.66128 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.40803 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.49358 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.09026 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.13632 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.92201 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.52925 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.58759 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.10464 |
| Total Weighted Health Survey Score for three cycles | 20 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-07 |
| Rating cycle 1 - Health Deficiency Score | 4 |
| Rating cycle 1 - Total Health Inspection Score | 28 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-08-28 |
| Rating cycle 2 - Health Deficiency Score | 28 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-16 |
| Rating cycle 3 - Health Deficiency Score | 16 |
| Rating cycle 3 - Total Health Inspection Score | 16 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |