Provider Name: NORTHERN WESTCHESTER HOSPITAL T C U
Address: 400 EAST MAIN STREET, MOUNT KISCO, NY 10549
Phone: (914) 666-8306
County: Westchester (800)
Ownership Type: Non profit - Corporation
Certified Beds: 12
Average Residents Per Day: 10.1 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
First Approved Date: August 1, 2014
Affiliated Entity: ()
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: 1.25938, LPN Staff Hours Per Day: 1.6229, RN Staff Hours Per Day: 3.6839, Licensed Staff Hours Per Day: 5.3069
Total Nurse Staff Hours Per Day, per resident: 6.56631
Weekend Nurse Staff Hours: 6.04935, Weekend RN Staff Hours: 3.0247
PT Staff Hours Per Day, per resident: 0.9060
Nurse Staff Turnover: 27.8, Nurse Turnover Note:
RN Turnover: 22.2, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2202, Case Mix LPN Hours Per Day: 0.8597, Case Mix RN Hours Per Day: 0.5593
Adjusted Nurse Aide Hours Per Day, per resident: 1.15556, Adjusted LPN Hours Per Day: 1.3930, Adjusted RN Hours Per Day: 2.4816
Total Adjusted Nurse Hours Per Day, per resident: 5.68693
Adjusted Weekend Nurse Hours Per Day, per resident: 5.23921
Health Survey Dates and Scores: Cycle 1: 2023-04-20 (Score: 0), Cycle 2: 2020-03-06 (Score: 0), Cycle 3: 2018-08-02 (Score: 8)
Total Weighted Health Score: 1.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 655.08, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 400 EAST MAIN STREET,MOUNT KISCO,NY,10549 (41.1985, -73.725)
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: Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-03-26
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-10-02
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: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
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 2023-05-25
Type: Fire Safety, Tag: 0271, Version: New
Description: Have exits that are accessible at all times.
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 2018-09-21
Type: Fire Safety, Tag: 0712, Version: New
Description: Have simulated fire drills held at unexpected times.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-09-21
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 2018-09-21