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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 Beds143
Average Number of Residents111.6
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 InstalledYes
Located In Hospital No
Resident Family CouncilBoth

Provider Business NameVJJ HOLDING COMPANY LLC
Ownership TypeFor profit - Corporation
Date First Approved1976-06-01

Reported Nurse Aide Staffing Hours per Resident per Day1.97183
Reported LPN Staffing Hours per Resident per Day1.1632
Reported RN Staffing - Hours per Resident per Day0.50975
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 Day0.23237
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.35454
Case-Mix LPN Staffing - Hours per Resident per Day1.02922
Case-Mix RN Staffing - Hours per Resident per Day0.58665
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 cycles27.333
Rating cycle 1 Standard Survey Health Date2019-11-06
Rating cycle 1 - Health Deficiency Score12
Rating cycle 1 - Total Health Inspection Score12
Date of Rating cycle 2 Standard Health Survey Date2018-07-17
Rating cycle 2 - Health Deficiency Score12
Date of Rating cycle 3 Standard Health Survey Date2017-03-09
Rating cycle 3 - Health Deficiency Score20
Rating cycle 3 - Total Health Inspection Score20

Number of Facility-Reported Incidents0
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Number of Fines1
Total Amount of Fines (in Dollars)2896
Total Number of Penalties1

Data Filing Date2020-10-01
Page Last Updated2020-11-28