Provider Name: HELEN HAYES HOSPITAL R H C F
Address: 51 N RT 9W, WEST HAVERSTRAW, NY 10993
Phone: (845) 786-4000
County: Rockland (620)
Ownership Type: Government - State
Certified Beds: 25
Average Residents Per Day: 19.6 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: STATE OF NEW YORK COMPTROLLERS OFFICE
First Approved Date: June 21, 2000
Affiliated Entity: STATE OF NEW YORK COMPTROLLER'S OFFICE (489)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: None
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.89286, LPN Staff Hours Per Day: 0.0215, RN Staff Hours Per Day: 3.6213, Licensed Staff Hours Per Day: 3.6428
Total Nurse Staff Hours Per Day, per resident: 7.53571
Weekend Nurse Staff Hours: 6.38575, Weekend RN Staff Hours: 3.1337
PT Staff Hours Per Day, per resident: 0.6181
Nurse Staff Turnover: 30.2, Nurse Turnover Note:
RN Turnover: 18.2, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 1.9373, Case Mix LPN Hours Per Day: 0.9133, Case Mix RN Hours Per Day: 0.5284
Adjusted Nurse Aide Hours Per Day, per resident: 4.09350, Adjusted LPN Hours Per Day: 0.0174, Adjusted RN Hours Per Day: 2.5821
Total Adjusted Nurse Hours Per Day, per resident: 7.02924
Adjusted Weekend Nurse Hours Per Day, per resident: 5.95656
Health Survey Dates and Scores: Cycle 1: 2022-05-25 (Score: 0), Cycle 2: 2019-10-21 (Score: 0), Cycle 3: 2018-02-09 (Score: 8)
Total Weighted Health Score: 1.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 51 N RT 9W,WEST HAVERSTRAW,NY,10993 (41.2054, -73.983)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-04-14
Type: Health, Deficiency: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-04-14
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: