King Street Home Inc
King Street Home Inc Information
| Facility Name | King Street Home Inc |
| Location | 787 King Street, Port Chester, NY 10573 |
| County (SSA Code) | Westchester (800) |
| Phone Number | 914-937-5800 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 120 |
| Average Number of Residents | 58.1 |
| 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 | None |
| Provider Business Name | KING STREET HOME INC |
| Ownership Type | For profit - Individual |
| Date First Approved | 1975-07-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.72085 |
| Reported LPN Staffing Hours per Resident per Day | 0.81653 |
| Reported RN Staffing - Hours per Resident per Day | 0.99476 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.81128 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.53213 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.22708 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.20548 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.73665 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.38403 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.32616 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.34412 |
| Total Weighted Health Survey Score for three cycles | 23.333 |
| Rating cycle 1 Standard Survey Health Date | 2018-11-21 |
| Rating cycle 1 - Health Deficiency Score | 6 |
| Rating cycle 1 - Total Health Inspection Score | 12 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-05-01 |
| Rating cycle 2 - Health Deficiency Score | 12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-04-06 |
| Rating cycle 3 - Health Deficiency Score | 20 |
| Rating cycle 3 - Total Health Inspection Score | 20 |
| Number of Facility-Reported Incidents | 0 |
| 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 |