Woodhaven Nursing Home
Woodhaven Nursing Home Information
| Facility Name | Woodhaven Nursing Home |
| Location | 1360 Route 112, Port Jefferson Stati, NY 11776 |
| County (SSA Code) | Suffolk (700) |
| Phone Number | 631-473-7100 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 143 |
| Average Number of Residents | 111.6 |
| 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 | Both |
| Provider Business Name | VJJ HOLDING COMPANY LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1976-06-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.97183 |
| Reported LPN Staffing Hours per Resident per Day | 1.1632 |
| Reported RN Staffing - Hours per Resident per Day | 0.50975 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.67295 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.64478 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.23237 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.35454 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 1.02922 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.58665 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.97041 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.92671 |
| Total Weighted Health Survey Score for three cycles | 27.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-11-06 |
| Rating cycle 1 - Health Deficiency Score | 12 |
| Rating cycle 1 - Total Health Inspection Score | 12 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-17 |
| Rating cycle 2 - Health Deficiency Score | 12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-03-09 |
| 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 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 2896 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |