Provider Name: THE STEVEN AND ALEXANDRA COHEN PED L T C PAVILION
Address: 95 BRADHURST AVE, VALHALLA, NY 10595
Phone: (914) 831-2582
County: Westchester (800)
Ownership Type: Non profit - Corporation
Certified Beds: 24
Average Residents Per Day: 23.8 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: BLYTHEDALE CHILDREN'S HOSPITAL
First Approved Date: September 23, 2016
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: 5 ()
Short Stay QM Rating: (2)
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.51899, LPN Staff Hours Per Day: 0.0000, RN Staff Hours Per Day: 4.6149, Licensed Staff Hours Per Day: 4.6149
Total Nurse Staff Hours Per Day, per resident: 7.13392
Weekend Nurse Staff Hours: 6.08507, Weekend RN Staff Hours: 3.9219
PT Staff Hours Per Day, per resident: 0.1990
Nurse Staff Turnover: 40.0, Nurse Turnover Note:
RN Turnover: 45.7, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.4764, Case Mix LPN Hours Per Day: 1.0971, Case Mix RN Hours Per Day: 1.4216
Adjusted Nurse Aide Hours Per Day, per resident: 2.07225, Adjusted LPN Hours Per Day: 0.0000, Adjusted RN Hours Per Day: 1.2232
Total Adjusted Nurse Hours Per Day, per resident: 4.50164
Adjusted Weekend Nurse Hours Per Day, per resident: 3.83980
Health Survey Dates and Scores: Cycle 1: 2022-09-08 (Score: 0), Cycle 2: 2019-07-17 (Score: 4), Cycle 3: 2017-08-23 (Score: 8)
Total Weighted Health Score: 2.667
Reported Incidents: 1, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 655.08, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 95 BRADHURST AVE,VALHALLA,NY,10595 (41.0754, -73.799)
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 and implement an infection prevention and control program.
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 2019-08-30
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 2021-05-14
Type: Health, Deficiency: Have a program that investigates, controls and keeps infection from spreading.
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 2017-10-09
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: 0015, Version: New
Description: Address subsistence needs for staff and patients.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-11-29
Type: Fire Safety, Tag: 0211, Version: New
Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.
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 2022-11-24
Type: Fire Safety, Tag: 0225, Version: New
Description: Have stairways and smokeproof enclosures used as exits that meet safety requirements.
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 2022-11-15
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 2022-11-15
Type: Fire Safety, Tag: 0281, Version: New
Description: Install proper backup exit lighting.
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 2022-11-09
Type: Fire Safety, Tag: 0351, Version: New
Description: Install an approved automatic sprinkler system.
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 2023-03-01
Type: Fire Safety, Tag: 0914, Version: New
Description: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
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 2022-11-14