Provider Name: HELEN HAYES HOSPITAL T C U
Address: 51 N ROUTE 9W, WEST HAVERSTRAW, NY 10993
Phone: (845) 786-4000
County: Rockland (620)
Ownership Type: Government - State
Certified Beds: 24
Average Residents Per Day: 15.7 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: STATE OF NEW YORK COMPTROLLERS OFFICE
First Approved Date: August 10, 2016
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: 4.26037, LPN Staff Hours Per Day: 0.1175, RN Staff Hours Per Day: 3.9242, Licensed Staff Hours Per Day: 4.0418
Total Nurse Staff Hours Per Day, per resident: 8.30221
Weekend Nurse Staff Hours: 6.79097, Weekend RN Staff Hours: 3.0213
PT Staff Hours Per Day, per resident: 0.8963
Nurse Staff Turnover: 18.2, Nurse Turnover Note:
RN Turnover: 11.8, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.0790, Case Mix LPN Hours Per Day: 1.0454, Case Mix RN Hours Per Day: 0.6748
Adjusted Nurse Aide Hours Per Day, per resident: 4.17475, Adjusted LPN Hours Per Day: 0.0829, Adjusted RN Hours Per Day: 2.1910
Total Adjusted Nurse Hours Per Day, per resident: 6.88768
Adjusted Weekend Nurse Hours Per Day, per resident: 5.63393
Health Survey Dates and Scores: Cycle 1: 2022-02-24 (Score: 0), Cycle 2: 2018-05-07 (Score: 8), Cycle 3: 2017-04-13 (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: 51 N ROUTE 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 2018-06-27
Type: Health, Deficiency: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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 2018-06-27
Type: Health, Deficiency: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
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 2017-05-26
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: 0741, Version: New
Description: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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 2022-03-22
Type: Fire Safety, Tag: 0352, Version: New
Description: Properly install and monitor supervisory attachments on 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 2018-05-25