Provider Name: JEFFERSON'S FERRY
Address: 500 MATHER DRIVE, SOUTH SETAUKET, NY 11720
Phone: (631) 650-2700
County: Suffolk (700)
Ownership Type: Non profit - Corporation
Certified Beds: 60
Average Residents Per Day: 49.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: ACTIVE RETIREMENT COMMUNITY, INC.
First Approved Date: November 6, 2001
Affiliated Entity: ()
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.83331, LPN Staff Hours Per Day: 0.6452, RN Staff Hours Per Day: 1.2020, Licensed Staff Hours Per Day: 1.8473
Total Nurse Staff Hours Per Day, per resident: 4.68064
Weekend Nurse Staff Hours: 4.29794, Weekend RN Staff Hours: 0.9494
PT Staff Hours Per Day, per resident: 0.1531
Nurse Staff Turnover: 37.0, Nurse Turnover Note:
RN Turnover: 25.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0918, Case Mix LPN Hours Per Day: 0.7128, Case Mix RN Hours Per Day: 0.3678
Adjusted Nurse Aide Hours Per Day, per resident: 2.75932, Adjusted LPN Hours Per Day: 0.6680, Adjusted RN Hours Per Day: 1.2312
Total Adjusted Nurse Hours Per Day, per resident: 4.65034
Adjusted Weekend Nurse Hours Per Day, per resident: 4.27011
Health Survey Dates and Scores: Cycle 1: 2022-08-30 (Score: 0), Cycle 2: 2020-02-13 (Score: 8), Cycle 3: 2018-11-30 (Score: 4)
Total Weighted Health Score: 3.333
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: 500 MATHER DRIVE,SOUTH SETAUKET,NY,11720 (40.8980, -73.080)
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: Ensure staff are vaccinated for COVID-19
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-10-25
Type: Health, Deficiency: Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
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 2020-04-09
Type: Health, Deficiency: Ensure that residents are free from significant medication errors.
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 2020-04-09
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 2019-01-11
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:
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-10-15
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
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 2020-02-25
Type: Fire Safety, Tag: 0351, Version: New
Description: Install an approved automatic sprinkler system.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-01-11