Cold Spring Hills Center For Nursing And Rehabilit

Current State: None change

General
Medicaid Data
Medicare Cost Report
Staff
Quality Measures
Health Survey
Fire Safety Survey
Definitions

Overall Facility Star Rating:
Address:: 378 Syosset Woodbury Road
Woodbury, NY 11797, Nassau County
Phone:: (516)921-3900
Medicare Cost Reports Available from:: 1996-01-01 To 2010-12-31
Health Survey Star Rating:
Health Survey:: 29 Deficiencies Listed | 2010-07-13
Fire Survey:: 8 Deficiencies Listed | 2010-07-13 | Sprinkler Status: fully sprinklered

Item Name:	Item Value:
Administrator	Michael Beiderman
Type	0
Operating Cert #	2952307N
Prov #	335555.0
Controller or CFO	Milton Gutman
End Date	12/31/10

Item Name:	Item Value:
Name	Susan Ostreicher
Title	Owner

Item Name:	Item Value:
Contact	Milton Gutman
Title	CFO
Phone	516-622-7850

Item Name:	Item Value:
Firm	Loeb & Troper
Name	Harold Gelernter
License #	046923
Address	655 Third Avenue
City	New
State	York
Zip	10017

Item Name:	Item Value:
Prev. Census Beds	511
Census Beds	543
Admissions	1,736
Patients Cared For	2,247
Discharges	1,704

Item Name:	Item Value:
Private Patients	25
Private Min Rate	440
Private Max Rate	440
Private Revenue	5,558,683
Medicare Patients	380
Medicare Min Rate	255.6
Medicare Max Rate	259.9
Medicare Revenue	16,688,684
Medicaid Patients	83
Medicaid Min Rate	247.6
Medicaid Max Rate	1,008.9
Medicaid Revenue	49,117,220
Other Patients	48
Other Min Rate	279.8
Other Max Rate	396.5
Other Revenue	6,231,336
Blue Cross Patients	0
Blue Cross Min Rate	0
Blue Cross Max Rate	0
Veterans Patients	0
Veterans Min Rate	0
Veterans Max Rate	0

Item Name:	Item Value:
Health Days	140,408
Managed Care Days	0
Medicare Eligible Days	12,026
Medicare Ineligible Days	0
Medicare Days	26,560
Medicare Managed Care Days	0
Blue Cross Days	0
Other Private Insurance	14,826
Private Pay Patients	10,926
Veterans Admin.	0
Other	0
Total	192,720

Item Name:	Item Value:
Manage. & Supervision	6,372,052
Specialist	3,620,248
Reg. Nurses	5,895,935
Lic. Practical Nurses	3,177,779
Aides & Assist.	10,027,281
Admin Employees	1,773,893
Env. Hotel. & Food Empl.	4,496,393
Interns & Fellows	0
Total	35,363,581

Item Name:	Item Value:
Uniforms	131,671
FICA	2,712,393
Unemp. Insurance	280,960
Grp Health Insur.	1,061,742
Union Pens. & Retire	1,825,248
Workmans Comp	2,102,448
NonUnion Pens. & Retire	267,744
Disability	63,766
Other	401,558
Union Health & Welfare	6,273,255
Emp. Meals Allowance	0
Total	15,120,785

Item Name:	Item Value:
Full-Time Emp.	676
Part-Time Emp.	297
Casual Emp.	0
Total Emp.	973

Name	Percent	State
Cold Spring Realty Co, Llc	85.2	Ny
National Healthcare Associates	100	Ct
Preferred Therapy Solutions	80	De
Tap Rx, Llc	50	Ny

Name	Percent
Upr Care Corporation	100

Name	Percent	Term	expires
Paula Bokow	50
Natan Brach	2.5
Solomon Green	2.5
David Cohen	6
Joshua Chopp	2.8
Leon Goldenberg	3.6
Rivkie Rubenstein	3.8
Abraham Eisen	3
Peppy Weberman	38
Tali Skoczylas	5
Alexander Skoczlas	2.5
Isaac Madeb	5
Susan Ostreicher	32.2
Estate Of Michael Pollack	3.8
Sylvia Pollack	4.4
Libe Hirsch	2
Philip Weberman	1
Kenneth Zitter	11.5
Joseph Skoczylas	2.5
Neuman Nn Partners	1.7
Neuman Mn Partners	1.7
Neuman Lj Partners	1.7

Name	Percent
Barry Bokow	0.5
Natan Brach	2.5
Sol Green	2.5
Joshua Chopp	2.8
Davis Cohen	6
Up Investors	5.6
Mayer Laufer	6.8
Neuman Nn Partners	1.7
Tali Skoczylas	5
Alexander Skoczlas	2.5
Isacc Medeb	5
Neuman Mn Partners	1.7
Marvin J Ostreicher	31.9
Estate Of Michael Pollack	3.8
Sylvia Pollack	4.4
Philip Weberman	1
Agnes Zitter	11.5
Josef Skoczlas	2.5
Neuman Lj Partners	1.7
Peggy Weberman	0.4
Susan Ostreicher	0.4

Name	Title	Salary
Joseph Seminaro	Ceo	256,962
David Moskowitz	Coo	81,418
Yitzchok Steg	Asst Administrator	135,159
Michael Lopiansky	Asst Administrator	59,214

Name	Date	Months	Payments During Period	Lease Cost
M&T Credit Services Birns Tele;Nec Univerg Sv8300	09/03/12	60	28,387	162,563

Item Name:	Item Value:
Deprec. Owned Assets	0
Deprec. Cap. Assets	0
Mortgage Interest	0
Cap. Lease Interest	0
Rent	2,441,211
Property Insurance	53,934
Boiler Insurance	4,878
Total	2,500,023

Item Name:	Item Value:
Deprec. Owned Assets	0
Deprec. Cap. Assets	0
Amortization	1,658,945
Owned Asset Interest	0
Cap. Lease Interest	0
Rent	0
Total	1,658,945

Item Name:	Item Value:
Deprec. Owned Assets	505,763
Deprec. Cap. Assets	32,513
Mortgage Interest	0
Cap. Lease Interest	7,849
Other Interest	0
Total Rental	322,125
Auto Insurance	10,499
Rent All Cap. Leases	28,387
Total	907,136

Item Name:	Item Value:
Sales Tax	346,939
Real Estate Tax	964,642
Payments in Lieu of Taxes	0
Occupancy Tax	0
Mortgage Ins. Prem.	0
Fees & Charges	0
Assessor Fees	0
Amort. Mortgage	0
Amort. Organization	0
Amort. Legal	0
Nurse Aide Training	0
Nurse Aide Testing	7,720
NYS Revenue Assessment	2,808,966
Bad Debts	600,000
Phone Equip. Deprec.	0
Phone Equip. Interest	0
Phone Equip. Rental	0
Total	4,728,267

Name	Land % Ownership	Bldg % Ownership	Moveable Equpi. % Ownership
Cold Spring Hills Realty Co,Llc	100	100	100

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	224,630
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	224,630

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	83,846
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	83,846

Item Name:	Item Value:
Salaries & Wages	114,870
Physicians Remuneration	0
Benefits	49,116
Fees	7,870
Supplies	65,659
Contract Svcs	0
Deprec. Lease & Rentals	62,511
Other Direct Exp.	0
Total	300,026

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	107,303
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	107,303

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	543,526
Physicians Remuneration	0
Benefits	232,401
Fees	1,001,452
Supplies	7,054
Contract Svcs	0
Deprec. Lease & Rentals	16,995
Other Direct Exp.	0
Total	1,801,428

Item Name:	Item Value:
Salaries & Wages	381,753
Physicians Remuneration	0
Benefits	163,230
Fees	1,238,224
Supplies	1,131
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	1,784,338

Item Name:	Item Value:
Salaries & Wages	145,241
Physicians Remuneration	0
Benefits	62,102
Fees	129,968
Supplies	1,300
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	338,611

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	36,000
Supplies	1,633,095
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	1,669,095

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	585,110
Physicians Remuneration	0
Benefits	250,182
Fees	14,331
Supplies	43,165
Contract Svcs	40,346
Deprec. Lease & Rentals	94,249
Other Direct Exp.	0
Total	1,027,383

Item Name:	Item Value:
Salaries & Wages	1,612,827
Physicians Remuneration	0
Benefits	689,614
Fees	2,145,262
Supplies	210,512
Contract Svcs	50,687
Deprec. Lease & Rentals	40,635
Other Direct Exp.	4,467,003
Total	9,216,540

Item Name:	Item Value:
Salaries & Wages	881,090
Physicians Remuneration	0
Benefits	376,737
Fees	9,435
Supplies	118,546
Contract Svcs	626,997
Deprec. Lease & Rentals	9,298
Other Direct Exp.	2,369,799
Total	4,391,902

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	1,355
Contract Svcs	270,774
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	272,129

Item Name:	Item Value:
Salaries & Wages	3,468,286
Physicians Remuneration	0
Benefits	1,482,972
Fees	0
Supplies	3,948
Contract Svcs	5,221
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	4,960,427

Item Name:	Item Value:
Salaries & Wages	755,831
Physicians Remuneration	0
Benefits	323,179
Fees	0
Supplies	5,145
Contract Svcs	132,174
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	1,216,329

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	175,762
Physicians Remuneration	177,084
Benefits	75,152
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	427,998

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	111,540
Physicians Remuneration	0
Benefits	47,692
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	159,232

Item Name:	Item Value:
Salaries & Wages	0
Physicians Remuneration	0
Benefits	0
Fees	0
Supplies	0
Contract Svcs	0
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	0

Item Name:	Item Value:
Salaries & Wages	793,814
Physicians Remuneration	0
Benefits	339,420
Fees	0
Supplies	171
Contract Svcs	12,662
Deprec. Lease & Rentals	0
Other Direct Exp.	0
Total	1,146,067

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Other Cost Report Years:

Fiscal Year Begin: 2010-01-01 | Fiscal Year End: 2010-12-31

Worksheet	Description
Worksheet S, Part 1 & 2	Certification and Settlement Summary
Worksheet S-2	Complex Identification Data
Worksheet S-3	Statistical Data
Worksheet S-3, Part 2 & 3	SNF Wage Index Information
Worksheet S-4, Part 1 & 2, HHA 1	SNF-Based Home Health Agency Statistical Data
Worksheet S-4, Part 3, HHA 1	SNF-Based Home Health Agency Statistical Data
Worksheet S-7, Part 4	Prospective Payment for SNF Statistical Data (RUGs)
Worksheet A	Reclassification and Adjustment of Trial Balance of Expenses
Worksheet A-7	Analysis of Changes During Cost Reporting Period in Capital Asset Balances
Worksheet A-8	Adjustments to Expenses
Worksheet A-8-1	Statement of Costs of Services from Related Organizations
Worksheet B, Part 1	Cost Allocation - General Service Costs
Worksheet B, Part 2	Allocation of Capital - Related Costs
Worksheet B-1, Part 1	Cost Allocation - General Service Costs
Worksheet C	Ratio of Cost to Charges for Ancillary and Outpatient Cost Centers
Worksheet D, Part 1 (Title XVIII) SNF Facility Type	Apportionment of Ancillary and Outpatient Cost and Reduction of Therapy Costs
Worksheet D-1, Part 1 & 2 (Title XVIII) SNF Facility Type	Computation of Inpatient Routine Costs
Worksheet E, Part 3 (Title XVIII) SNF Facility Type	Calculation of Reimbursement Settlement (SNF, Title XVIII)
Worksheet E-1 (Title XVIII) SNF Facility Type	Analysis of Payments to Providers for Services Rendered (SNF, Title XVIII)
Worksheet G	Balance Sheet
Worksheet G-2, Part 1 & 2	Statement of Patient Revenues and Operating Expenses
Worksheet G-3	Statement of Revenues and Expenses
Worksheet H, HHA 1	Analysis of Provider-Based Home Health Agency Costs
Worksheet H-4, Part 1 & 2, HHA 1	Allocation of HHA Administrative and General Costs
Worksheet H-6, Part 1 & 2, HHA 1	Calculation of HHA Reimbursement Settlement Part A & Part B Services
Worksheet H-7, HHA 1	Analysis of Payments to Provider-Based HHA's for Services Rendered to Program Beneficiaries

	National Average	New York Average	Cold Spring Hills Center For Nursing And Rehabilit
Nurse Staffing Star Rating
Total Number of Residents	88.90	172.81	538.0
Total Number of Licensed Nurse Staff Hours per Resident per Day	1 hour and 34 minutes	1 hour and 28 minutes	1 hour and 32 minutes
RN Hours per Resident per Day	44 minutes	39 minutes	1 hour and 1 minute
RN Staff Only Star Rating
LPN/LVN Hours per Resident per Day	50 minutes	48 minutes	31 minutes
CNA Hours per Resident per Day	2 hours and 28 minutes	2 hours and 20 minutes	2 hours and 24 minutes

Quality Measures	National Average	New York Average	Cold Spring Hills Center For Nursing And Rehabilit
Quality Measures Star Rating
Long-Stay Residents
NOTE: For the following Measures, Higher Percentages are better.
Percent of long-stay residents given influenza vaccination during the flu season	86.96%	86.96%	88%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	85.82%	85.82%	87%
NOTE: for the following measures, lower percentages are better.
Percent of long-stay residents whose need for help with daily activities has increased	13.41%	13.41%	11%
Percent of long-stay residents who have moderate to severe pain	3.08%	3.08%	2%
Percent of high-risk long-stay residents who have pressure sores	9.79%	9.79%	14%
Percent of low-risk long-stay residents who have pressure sores	1.52%	1.52%	2%
Percent of long-stay residents who were physically restrained	2.62%	2.62%	6%
Percent of long-stay residents who are more depressed or anxious	13.72%	13.72%	11%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	47.77%	47.77%	60%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	4.79%	4.79%	2%
Percent of long-stay residents who spend most of their time in bed or in a chair	3.84%	3.84%	0%
Percent of long-stay residents whose ability to move about in and around their room got worse	10.29%	10.29%	15%
Percent of long-stay residents who had a urinary tract infection	8.48%	8.48%	4%
Percent of long-stay residents who lose too much weight	7.25%	7.25%	8%
Short-Stay Residents
NOTE: For the following Measures, Higher Percentages are better.
Percent of short-stay residents given influenza vaccination during the flu season	78.26%	78.26%	62%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	77.32%	77.32%	64%
NOTE: For the following Measures, Lower Percentages are better.
Percent of short-stay residents who have delirium	1.31%	1.31%	0%
Percent of short-stay residents who had moderate to severe pain	17.26%	17.26%	14%
Percent of short-stay residents who have pressure sores	10.85%	10.85%	14%

Quality Care Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	2010-07-13	2011-01-28	Minimal harm or potential for actual harm	Isolated
2. Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.	2010-07-13	2011-01-28	Minimal harm or potential for actual harm	Isolated
3. Give professional services that meet a professional standard of quality.	2010-07-13	2010-09-10	Minimal harm or potential for actual harm	Isolated
4. Give each resident care and services to get or keep the highest quality of life possible.	2010-07-13	2010-09-10	Minimal harm or potential for actual harm	Isolated
5. Give professional services that follow each resident's written care plan.	2009-12-04	2010-02-01	Minimal harm or potential for actual harm	Isolated
6. Give each resident care and services to get or keep the highest quality of life possible.	2009-12-04	2010-02-01	Minimal harm or potential for actual harm	Isolated
7. Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	2009-05-20	2009-07-17	Minimal harm or potential for actual harm	Isolated
8. Give professional services that follow each resident's written care plan.	2009-05-20	2009-07-17	Minimal harm or potential for actual harm	Isolated
9. Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	2008-02-13	2008-04-12	Minimal harm or potential for actual harm	Isolated

Nutrition and Dietary Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	2009-12-04	2010-02-01	Minimal harm or potential for actual harm	Pattern
2. 1) provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	2009-05-20	2009-07-17	Potential for minimal harm	Pattern

Mistreatment Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. 1) hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	2010-07-13	2010-09-10	Minimal harm or potential for actual harm	Isolated
2. Keep each resident free from physical restraints, unless needed for medical treatment.	2009-12-04	2010-02-01	Minimal harm or potential for actual harm	Isolated
3. Keep each resident free from physical restraints, unless needed for medical treatment.	2009-05-20	2009-07-17	Minimal harm or potential for actual harm	Pattern

Resident Assessment Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed.	2010-07-13	2011-01-28	Potential for minimal harm	Pattern
2. Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	2010-07-13	2010-09-10	Minimal harm or potential for actual harm	Pattern
3. Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	2010-07-13	2010-09-10	Minimal harm or potential for actual harm	Isolated
4. Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed.	2009-12-04	2010-02-01	Minimal harm or potential for actual harm	Isolated
5. Make sure all assessments are accurate, coordinated by an rn, done by the right professional, and are signed by the person completing them.	2009-12-04	2010-02-01	Potential for minimal harm	Pattern
6. Make sure all assessments are accurate, coordinated by an rn, done by the right professional, and are signed by the person completing them.	2009-05-20	2009-07-17	Minimal harm or potential for actual harm	Isolated

Environmental Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Make sure that a working call system is available in each resident's room or bathroom and bathing area.	2010-07-13	2010-09-10	Minimal harm or potential for actual harm	Pattern
2. Have a program to keep infection from spreading.	2010-07-13	2010-09-10	Minimal harm or potential for actual harm	Isolated
3. Make sure that the nursing home area is free of dangers that cause accidents.	2009-12-30	2010-02-26	Minimal harm or potential for actual harm	Isolated
4. Have a program to keep infection from spreading.	2009-12-04	2010-02-01	Minimal harm or potential for actual harm	Isolated

Pharmacy Service Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. 1) make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	2010-07-13	2010-09-10	Minimal harm or potential for actual harm	Pattern
2. Properly mark drugs and other similar products.	2009-12-04	2010-02-01	Minimal harm or potential for actual harm	Isolated

Resident Rights Deficiencies

Inspectors determined that the nursing home failed to:	Inspection Date	Correction Date	Level of Harm	Scope
1. Tell each resident who can get medicaid benefits about 1) which items and services medicaid covers and which the resident must pay for; or 2) how to apply for medicaid, along with the names and addresses of state groups that can help.	2010-07-13	2010-09-10	Minimal harm or potential for actual harm	Pattern
2. Provide care in a way that keeps or builds each resident's dignity and self respect.	2010-07-13	2010-09-10	Minimal harm or potential for actual harm	Isolated
3. Provide proof that all residents' personal money which is deposited with the nursing home, is secure.	2009-12-04	2010-02-01	Potential for minimal harm	Widespread

Exits and Egress Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Exits that are accessible at all times.	2009-05-20	2009-07-17	Minimal harm or potential for actual harm	Pattern
2. Exit stairways and towers that are smoke proof.	2009-05-20	2009-07-17	Potential for minimal harm	Pattern

Smoking Regulations Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Posted no-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed."	2009-12-04	2010-02-01	Minimal harm or potential for actual harm	Pattern

Automatic Sprinkler Systems Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Properly working alarms on sprinkler valves.	2009-12-04	2010-02-01	Minimal harm or potential for actual harm	Isolated

Emergency Plans and Fire Drills Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Record of quarterly fire drills for each shift under varying conditions.	2009-12-04	2010-02-01	Minimal harm or potential for actual harm	Pattern

Corridor Walls and Doors Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Corridor and hallway doors that block smoke.	2010-07-13	2010-09-10	Minimal harm or potential for actual harm	Isolated

Illumination and Emergency Power Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Emergency lighting that can last at least 1 1/2 hours.	2010-07-13	2010-09-10	Potential for minimal harm	Widespread

Building Service Equipment Deficiencies

Inspectors determined that the building did not have:	Inspection Date	Correction Date	Level of Harm	Scope
1. Properly protected cooking facilities.	2010-07-13	2010-09-10	Potential for minimal harm	Widespread

Resident Councils

The law requires nursing homes to allow councils to be set up by residents and families. Resident and family councils can facilitate communications with staff. If a nursing home does not have a resident and family council, ask the administrator why. If there is a council, ask to talk with council presidents to get a sense of how the nursing home has acted on their concerns.

Ownership Type

Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations, or government entities. Quality of nursing homes can vary within each of these different types of ownership. Each nursing home needs to be judged on its own merits.

Multiple Nursing Home Ownership

Multi-nursing home chains have two or more homes under one ownership or operation.

Registered Nurse

Registered nurses (RNs) have between 2 and 6 years of education

Licensed Practical and Vocational Nurse

Licensed practical and vocational nurses (LPNs/LVNs) generally have 1 year of training. By law, RNs must assess residents' needs. RNs and LPNs/LVNs work together to plan care, implement care and treatment, and evaluate residents' outcomes. Nurses must be licensed in the state and are on site to provide care to residents twenty-four hours per day, seven days a week.

Certified Nursing Assistant

Certified nursing assistants (CNAs) provide care on a twenty-four hour basis. They work under the direction of a licensed nurse to assist residents with activities of daily living, i.e., eating, grooming, hygiene, dressing, transferring, and toileting. To become a full time certified nursing assistants (CNAs) one must have completed a competency evaluation program or nurse assistant training within 4 months of their permanent employment. They must also pursue continuing education each year.

On Site Services

On site services provide insight into the actual services that the Nursing Home offers. These services include dental service, dietary service, mental health service and others. This information will allow you to see if the Nursing Home provides these services or if they contract with an outside agency for these services.

Percentage of Residents Whose Ability to Move about in and around Their Room Got Worse

This measure indicates the percentage of residents whose ability to move about, either by walking or using a wheelchair, in their room and the hallway near their room, got worse since their last assessment. (Lower percentages are better.)

A decline in physical activity may come with age due to muscle loss, joint stiffness, worsening illness, fear of injury, or depression. Residents who lose mobility may also lose the ability to perform other activities of daily living, like eating, dressing, or getting to the bathroom. In some cases, however, the decline measured may be temporary and due to a short-term illness the resident is experiencing at the time of the assessment.

A lack of movement affects the resident in many ways. It becomes difficult to participate in physical and social activities. Sleep quality can suffer. The risk of heart disease, stroke, diabetes, or blood clots can increase. Depression and anxiety can worsen. Staying in one position and constant pressure on the skin can increase the chance of pressure sores. It is important for residents to be as active as possible.

Nursing home staff can help residents move around more. For instance, they can encourage residents to take part in physical and social activities or take them for regular walks if they need help. Most residents value being able to move about on their own and take care of themselves. It is important that nursing home staff encourage residents to do as much as they can for themselves and stay as active as physically possible. Some residents will decline in their ability to move about, even though the nursing home staff makes a good effort to keep them more active

Percentage of High Risk Residents Who Have Pressure Sores

This measure indicates the percent of residents, among all residents at high risk for getting pressure sores, who get a pressure sore in the nursing home. (Lower percentages are better.) A resident is at high risk for getting pressure sores if he or she is in a coma, doesn't get the nutrients they need (like water, vitamins, and minerals), or can't move or change position on their own.

A pressure sore is a skin wound. Pressure sores are sometimes called bedsores. These sores can be caused by pressure on the skin from chairs, wheelchairs, or beds. Pressure sores usually develop on bony parts of the body such as the tailbone, hip, ankle, or heel. They are usually caused by constant pressure on one part of the skin.

Pressure sores may:

be painful
take a long time to heal
cause other complications such as skin and bone infections

Percentage of Residents Who Spend Most of Their Time in Bed or in a Chair

This measure indicates the percentage of residents who spent most of their time in bed or in a chair in their room during the 7-day assessment period. (Lower percentages are better.)

A decline in physical activity may come with age due to muscle loss, joint stiffness, fear of injury, worsening illness, or depression. Residents who spend too much time in bed or a chair may lose the ability to perform activities of daily living, like eating, dressing, or getting to the bathroom.

Staying in a bed or chair affects the resident in many ways. Unused muscles get weaker. It becomes difficult to participate in physical and social activities. Sleep quality can suffer. The risk of heart disease, stroke, diabetes, or blood clots can increase. Depression and anxiety can worsen. Staying in one position, and constant pressure on the skin can increase the chance of pressure sores. It is important for residents to be as active as possible.

Nursing home staff can help residents be more active. For instance, they can encourage residents to take part in physical activities or take them for regular walks if they need help. Most residents value being able to take care of themselves. It is important that nursing home staff encourage residents to do as much as they can for themselves and stay as active as physically possible. Some residents will choose to remain in bed or in a chair even though the nursing home staff makes a good effort to keep them more active. It is also important to note that some residents may be counted in this measure if their assessment period occurs when they are temporarily ill and are remaining in bed due to a short-term problem.

Percentage of Residents Who Were Physically Restrained

This measure indicates the percent of residents in the nursing home who were physically restrained daily during the 7-day assessment period. (Lower percentages are better.)

A physical restraint is any device, material, or equipment attached or adjacent to a resident's body, which the individual cannot remove easily, that keeps a resident from moving freely or prevents them normal access to their body. Examples of physical restraints include special types of vests, chairs with lap trays, lap belts, and enclosed walkers. Bed rails (side rails) are also considered restraints in certain situations, but they are not used in the calculation of this measure.

Restraints should only be used when they are necessary as part of the treatment of a resident's medical condition. Only a doctor can order a restraint. Restraints should never be used to punish a resident or to make things easier for the staff. Facilities are not allowed to use restraints based solely on a family's request, unless there is a documented medical need and a doctor's order. A resident who is restrained daily can become weak, lose the ability to go to the bathroom by themselves, and develop pressure sores or other medical complications.

Percentage of Residents Whose Need for Help with Daily Activities Has Increased

The daily activities that this measure counts include:

feeding oneself
moving from one chair to another
changing positions while in bed
going to the bathroom alone

Residents are checked routinely to see how they function doing these basic daily activities. Some loss of function may be expected in the elderly. If they are in poor health or if they are ill (for example, if they have pneumonia, an infection, a recent injury, or a chronic problem like asthma that has flared up), they may have a temporary loss of function. Sudden or rapid loss of one or more of these basic daily tasks could mean the resident needs medical attention.

Most residents value being able to take care of themselves. It is important that nursing home staff encourage residents to do as much as they can for themselves. In some cases, it may take more staff time to allow residents to do these tasks than to do the tasks for them. Residents who still do these basic daily activities with little help may feel better about themselves and stay more active. This can affect their health in a good way. When people stop taking care of themselves, it may mean that their health has gotten worse. The resident's ability to perform daily functions is important in maintaining their current health status and quality of life. Some residents will lose function in their basic daily activities even though the nursing home provides good care.

Percentage of Low Risk Residents Who Lose Control of Their Bowels and Bladder

This measure indicates the percent of residents who often lose control of their bowels or bladder. (Lower percentages are better.) This information is only based on residents who have a low risk for losing control of their bowel or bladder. Residents have a low risk for losing bowel and bladder control if they do not have either severe dementia (memory loss) or a very limited ability to move on their own.

Loss of bowel or bladder control is not a normal sign of aging and can often be successfully treated. Loss of bowel and bladder control can be caused by:

physical problems (like constipation, muscle weakness, or a bladder infection)
location problems (like the bathroom being too far away)
reaction to medication
limited ability to walk or move around
diet and fluid intake
toilet routine (timing trips to the bathroom)
whether someone can provide assistance when needed
certain medical conditions, such as diabetes, dementia, spinal cord injury, or neurological disease

Finding the cause and treating a problem with bowel or bladder control is important for many reasons. Physically, it can help prevent infections and pressure sores. Mentally, treatment can help the well being of the resident by restoring dignity and social interaction. Having fewer residents with bowel and bladder control problems can give the nursing home staff more time to provide other care.

Five Star Quality Rating

Much Above Avg. 5 out of 5 stars
Above Avg. 4 out of 5 stars
Average 3 out of 5 stars
Below Avg. 2 out of 5 stars
Much Below Avg. 1 out of 5 stars

Percentage of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder

This measure indicates the percent of residents who had a catheter inserted and left in their bladder for a period of time during the 14-day assessment period. (Lower percentages are better.)

A catheter is a thin, soft tube that is inserted into the bladder and attached to a bag that collects the urine. It may be inserted into the bladder of a patient who has lost control of their bladder or cannot use a toilet (for instance, someone in a coma). Catheters may be used because there is a physical reason the urine cannot drain naturally, to keep a patient with pressure sores that are not healing clean and dry, or to measure the amount of urine being produced.

A catheter should only be used when it is medically necessary. Residents may need a lot of help to get to the toilet, or they may have to go frequently. A catheter should not be used for the convenience of the nursing home staff. Using a catheter may result in complications like urinary tract or blood infections, physical injury, skin problems, bladder stones, or blood in the urine. Some studies have shown that long-term use of indwelling catheters (over many years) may increase the rates of bladder cancer in patients with spinal cord injuries.

Percentage of Residents with a Urinary Tract Infection

This measure indicates the percentage of residents who had an infection in their urinary tract at any time during the 30 days before their most recent assessment. (Lower percentages are better.)

A urinary tract infection (UTI) is an infection in the urethra that, if left untreated, can spread to the bladder (bladder infection) and kidney (kidney infection).

If the area where waste (urine and bowel movements) leaves the body is not kept clean, bacteria from the colon may multiply and enter the urethra (the tube that passes urine from the bladder to outside the body), causing a UTI. A UTI may also be caused by bacteria on a catheter (a soft tube) being used to drain urine from the bladder.

Most urinary tract infections can be prevented by keeping the area clean, emptying the bladder regularly, and drinking enough fluid. Nursing home staff should make sure the resident has good hygiene. Finding the cause and getting early treatment of a UTI can prevent the infection from spreading and becoming more serious or causing complications like delirium. It is important to find out whether the UTI is caused by a physical problem, like an enlarged prostate, so proper medical treatment can be given.

Percentage of Residents Who Are More Depressed or Anxious

This measure indicates the percentage of residents who have become more depressed or anxious in the nursing home since the last time they were checked. (Lower percentages are better.)

Depression is a medical problem of the brain that can affect how a person thinks, feels, and behaves. Signs of depression may include fatigue, a loss of interest in normal activities, poor appetite, and problems with concentration and sleeping.

Anxiety is excessive worry. Signs of anxiety can include trembling, muscle aches, problems sleeping, stomach pain, dizziness, and irritability.

Feeling depressed or anxious can lessen one's quality of life and lead to other health problems. Nursing home residents are at a high risk for developing depression and anxiety for many reasons, such as loss of a spouse, family members, or friends; chronic pain and illness; difficulty adjusting to the nursing home; and frustration with memory loss. Identifying depression and anxiety can be difficult in elderly patients because the signs may be confused with the normal aging process, a side effect of a medication, or the result of a medical condition. Proper treatment may include medication, therapy, or an increase in social support.

Percentage of Residents Who Lose Too Much Weight

This measure indicates the percentage of residents who have lost too much weight. (Lower percentages are better.)

A loss of 5% or more of body weight in one month is usually considered unhealthy (for example, a 150 pound person should not lose more than 7.5 pounds in one month). Too much weight loss can make a person weak, change how medicine works in the body, or cause the skin to break down, which can lead to pressure sores. Too much weight loss may mean that the resident is ill, refuses to eat, is depressed, or has a medical problem that makes eating difficult (like weakness caused by a stroke). It could also mean that the resident is not being fed properly, their medical care is not being properly managed, or that the nursing home's nutrition program is poor. To help prevent unhealthy weight loss, it is important that the resident's diet is balanced and nutritious, and that staff spend enough time feeding people who can't feed themselves. Sometimes it may be necessary for a person to lose weight for medical reasons. In these cases, the medical staff may plan in advance for the resident to lose weight on a special weight loss program, but the person should not lose more than 5% of body weight in one month.

Percentage of Residents Who Have Moderate to Severe Pain

This indicates the percentage of residents who are reported to have moderate to severe pain during the 7-day assessment period. This measure is shown to encourage you to talk to the nursing home staff about how they check and manage pain, and to make you aware of how important it is. Pain can be caused by a variety of medical conditions. Checking for pain and pain management are very complex.

Comparing these percentages is different from the other measures because the percentages may mean different things. Generally, a lower percentage on this measure is better. However, this isn't always true. For example, two nursing homes could provide the same quality of care and have the same number of residents with pain. However, if one of the nursing homes does a better job checking the residents for pain, they could have a higher percentage on this measure. Or, if for personal or cultural reasons, more residents in one of the nursing homes refuse to take pain medication, that nursing home's percentage would be higher. In these examples, although the percentage for one nursing home is higher, it does not mean they are not providing good care.

Residents should always be checked regularly by nursing home staff to see if they are having pain. Residents (or someone on their behalf) should let staff know if they are in pain so efforts can be made to find the cause and make the resident more comfortable. If pain is not treated, a resident may not be able to perform daily routines, may become depressed, or may have an overall poor quality of life. This percentage may include some residents who are getting or have been prescribed treatment for their pain but who refuse pain medicines or choose to take less. Some residents may choose to accept a certain level of pain so they can stay more alert.

Percentage of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination

A pneumococcal vaccination otherwise known as pneumococcal shot may help you prevent, or lower the risk of becoming seriously ill from pneumonia caused by bacteria. It may also help you prevent future infections.

Residents of nursing homes should be asked if they have been vaccinated for pneumonia, and if not, you should be given the pneumococcal shot unless there is a medical reason why you should not receive it.

Percentage of Long-Stay Residents Given Influenza Vaccination During the Flu Season

Influenza is also known as the "flu" and is a contagious form of a respiratory infection. The flu is easily transmitted from person to person. The most common form of spreading this condition is when a person coughs or sneezes.

Receiving an immunization (influenza vaccination or flu shot) can prevent you from getting the flu or at the least help to reduce your risk of becoming seriously ill from the flu. People 65 years of age and older tend to be at a higher risk of becoming seriously ill from the flu. These illnesses can develop into serious and sometime life threatening medical complications. It is recommended that if you are 65 or older you should get a flu shot once a year if no medical condition would preclude you from receiving one.

The flu season is between October and March of each year. Residents of nursing homes should have a flu shot once every year during the flu season. You doctor will explain to you if you have a medical condition or situation that would not allow you to receive a flu shot.

Overall Rating

The overall rating is a combination of the health inspection rating, the staffing rating, and the quality measures rating. Analysis was conducted on these three data sources and each of these ratings were combined into one overall rating.

When looking at the five-star ratings, more stars are better. Five (5) stars are the most a nursing home can get. One (1) star is the fewest.

Health Inspection Result Rating

Strengths:

Comprehensive: The nursing home health inspection process looks at all major aspects of care in a nursing home (about 180 different items).
Onsite Visits by Trained Inspectors: It is the only source of information that comes from a trained team of objective surveyors who visit each nursing home to check on the quality of care, inspect medical records, and talk with residents about their care.
Federal Quality Checks: Federal surveyors check on the state surveyors' work to make sure they are following the national process and that any differences between states stay within reasonable bounds.

Limits:

Variation between States: There are some differences in how different states carry out the inspection process, even though the standards are the same across the country.
Medicaid Program Differences: There are also differences in state licensing requirements that affect quality, and in state Medicaid programs that pay for much of the care in nursing homes

Staffing Rating

Strengths:

Overall Staffing: The quality ratings look at the overall number of staff compared to the number of residents and how many of the staff are trained nurses.
Adjusted for the Population: The ratings consider differences in how sick the nursing home residents are in each nursing home, since that will make a difference in how many staff are needed.

Limits:

Self-Reported: The staffing data are self-reported by the nursing home, rather than collected and reported by an independent agency.
Snap-Shot in Time: Staffing data are reported just once a year and reflect staffing over a 2 week period of time.

Quality Measures Rating

Strengths:

In-Depth Look: The quality measures provide an important in-depth look at how well each nursing home performs on ten important aspects of care. For example, these measures show how well the nursing home helps people keep their ability to dress and eat, or how well the nursing home prevents and treats skin ulcers.
National Measures: The ten quality measures we use in the Five-Star rating are used in all nursing homes.

Limits:

Self-Reported Data: The quality measures are self-reported by the nursing home, rather than collected and reported by an independent agency.
Just a Few Aspects of Care: The quality measures represent only a few of the many aspects of care that may be important to you.

Item Name:	Item Value:
Laboratory	0
Electrocardiology	0
Electroencephalogy	0
Radiology	0
Inhalation Therapy	0
Podiatry	0
Dental	0
Psychiatric	0
Physical Therapy	0
Occupational Therapy	0
Speech & Hearing Therapy	0
Pharmacy	0
Central Svc Supply	0
Medical Staff Svc	0

Item Name:	Item Value:
Patient Service Revenue	77,595,923
Other Operating Revenue	59,009
Operating Revenue	77,654,932
Non-Operating Revenue	2,115,281
Operating Expense	79,898,833
NonOperating Expense	0
Revenue Less Expenses	-128,620

Item Name:	Item Value:
Res Health Care Fac	26,050,123
Adult Care	0
ICF Mental Retardation	0
Outpatient Clinics	0
Home Health Care	6,391,527
Homemaker Svcs	0
Meals on Wheels	0
Research	0
Office & Other Rent	0
Gift Shop	0
Public Restaurant	0
Fund Raising	0
Barber & Beauty	0
Sold Svcs	0
Indpendent Living	0
Other	0

Item Name:	Item Value:
Res Health Care Fac	66,654,626
Adult Care	0
ICF Mental Retardation	0
Outpatient Clinics	0
Home Health Care	6,967,192
Homemaker Svcs	0
Meals on Wheels	0
Research	0
Office & Other Rent	0
Gift Shop	0
Public Restaurant	0
Fund Raising	0
Barber & Beauty	0
Sold Svcs	0
Other	0
Indpendent Living	0

Item Name:	Item Value:
Deprec. Lease & Rentals	4,100,156
Deprec. Major Moveable Equip.	538,276
Cap. Debt Interest	7,849
Fiscal Svcs	1,027,383
Admin Svcs	9,216,540
Plant Oper. & Maint.	4,391,902
Grounds	0
Security	272,129
Nursing Admin	4,960,427
Activities Program	1,216,329
NonPhysician Edu.	0
Medical Edu.	0
Med Dir. Office	427,998
Housing	0
Medical Records	159,232
Utilization Review	0
Social Svcs	1,146,067
Transportation	717,409

Item Name:	Item Value:
Notes & Loans Payable	347,678
Acc. Payable	13,185,675
Accrued Compensation	4,745,675
Other Accrued Exp.	0
Long Term Debt Installment	0
Third Party Payor Advances	0
Payables to Private	3,966,518
Income Tax Payable	0
Deferred Rev. Patients Deposits	0
Other Deferred Revenue	0
Due to Parent/Affiliate	2,282,988
Due to Other Funds	0
Total	27,125,782

Item Name:	Item Value:
Deferred Income Tax	0
Deferred Third Party Rev.	0
Patient Trust Funds	0
Long Term Debt	0
Due to Other Funds	0
Total	27,217,046

Item Name:	Item Value:
Self Pay	392,350
Medicare A	58,658
Medicare B	0
Medicaid	86,035
Other	62,957
Total	600,000

Lender	Purpose	Principal Amount	Rate	Interest
M&T Credit Corporation	Time & Attendence	86,407	7	2,394
M&T Credit Corporation	Telephone System	162,563	6.5	7,849
M&T Credit Corporation	Generators	2,669,000	2.4	12,310

Item Name:	Item Value:
Cash-on Hand & Banks	1,162,011
Time Deposits	0
Investments	0
Patient acc. & notes reciev.	552,398
Third Party Receiv.	0
Other Acc. Receiv.	11,937,118
Pledges Receiv.	0
Inventories	0
Due From Other Funds	0
Dues From Parent/Affiliate	0
Prepaid Expenses & Other	808,890
Other	2,217,803
Total	16,678,220

Item Name:	Item Value:
Cash	0
Time Deposits	0
Investments	0
Patient Trust Funds	0
Land	0
Land Improve.	0
Bldng & Fixed Equip.	0
Major Moveable Equip.	4,188,984
Leasehold Improvement	36,947,306
Minor Equip.	0
Cur. Construction	0
Non-Op Prop. Invest.	0
Due From Other Funds	0
Other Intangible	0
Total	48,842,064

Item Name:	Item Value:
Deprec. Funds	0
Oper. Escrow Funds	0
Mortg. Repay. Escrow Funds	0
Other	0

Item Name:	Item Value:
Capital	0
Preferred Stock	0
Common Stock	0
Add. Paid in Capital	0
Retained Earnings	11,177,456
Less- Treasury Stock	0
Contr. From Other Funds	0

Vendor/Service	Fee Amount	Contract Amount
Cintas Corporation		12,491
On Site Inc		19,154
Fazzi Associates		20,400
My Inner View		12,960
Cablevision		33,678
Lee Perry Gross Music		31,120
Barbara Kianofsky		21,974
A&F Fire Protection		26,254
Bicounty Dba/Lifestar		18,000
Birns Telecommunications		64,475
C&H Signal		73,194
Diamond Comfort		40,717
Gdc Medical Electronic		12,155
Genserve Inc		23,495
Li Locksmith & Alarm		21,154
Nouveau Industries		99,010
Pickney Electric Inc		19,898
Henry Rebmann Plumbing		25,354
American Pad Ex Of Ny		11,978
Spot Free Inc		13,975
Med Apparel Services		175,383
Unitex		403,228
Bowles Corp Services		263,416
Ivecon		11,500
Careanywhere		56,152
Graanat Alzheimer Center		10,925
United Lifeline		21,190
Alignsource Llc		24,300
Center Island Landescape		50,735
Nortyh Shore Winter		67,501
National Environment		100,831
Bullfrog Pest Management		14,257
Amg Transportation		424,807
Bicounty Dba/Lifestar		263,194
Fga Software Solutions		7,675
Approved Storgae And Waste		1,163
Aquarium Express Inc		3,235
David Patrick		2,080
Covad Communications		3,197
Ivans		1,213
National Archives		8,127
Sound Markets Concepts		1,068
Overland Solutions Inc		1,484
Cantor Rokofsky		7,000
Holy Name Of Jesus Rc		5,500
Philip Diorio		2,108
Dayle Friedman		2,220
Anthony Merola		4,025
Aw Sons Exhaust Inc		3,476
Clarity Water Tech		4,481
Fire Command		5,054
Firemasters		5,065
Sindicic Jon		9,700
City Sewer		2,173
Marianne Banks		3,932
Catholic Homecare		1,800
Cottage Pharm & Surg		4,674
Stericycle		12,443
James Salvermini		1,660
Albert Mulad		500
Barbara Allen		260
Blue Heron Entertainment		1,450
Ivans		1,314
The Framing Workshop		162
Elizabeth Balestracci		915
County Wide Associates		150
Franks Pizza		830
Stuart Markus		1,070
Martin Bard		125
Rr Tunes Inc		500
The Orginal Partypet		325
Abest Radios & Communications		1,165
Abs Pump Repair		1,212
Anchor Canvas		4,014
Century Utility Systems		1,050
Fox Glass Company		2,315
Johnson Controls		1,719
North Shore Fire Equipment		2,778
Hy Cert Services		1,519
American Pad Ex Of Ny		2,879
Margaret Admann		1,550
Doubleday Babcock		1,890
Carillion Nursing Center		1,250
The Moving Doctor		402
Nancy Colombo		136
Universal Business System		81
Arato Posie		75
Mike Barry		360
Jihn Fogarty		250

Item Name:	Item Value:
Admin-Long Term Debt	0
Therapist & Other	2,951,944
Consulting & Management	1,782,013
Legal	218,129
Auditing Services	181,364
Registered Nurses	0
Lic. Practical Nurses	0
Private Duty Nurses	0
Total	8,362,837

Item Name:	Item Value:
Electricity	0
Gas	69,242
Water & Sewer	32,906
Other Utilities	0
Insurance	658,752
Interest	7,849
Non-Income Taxes	3,785,096
Phone	125,676
Association Dues	80,584
Printing and Dup.	32,570
Travel	2,515
Books & Periodicals	7,244
Other	929,384
Total	7,034,411

Item Name:	Item Value:
Grounds Sq Ft Serviced	1,157,209
Avg. Nursing Employees	430
Num. Activities Participants	471,031
Avg. Persons Housed	0
Utilization Cases Reviewed	0
Transportation Trips	20,386
Med. Edu. Students	0
NonPhysician Edu. Students	0
Plant Oper & Main. Sq. Ft. Net	276,009
Rel. Radiology Value Units	1,113

Item Name:	Item Value:
Inhalation Treatments	498
Podiatry Visits	0
Dental Visits	740
Psychiatric Visits	1,353
Phys. Therapy Treatments	97,850
Occu. Therapy Treatments	93,971
Speech & Hearing Therapy Treatments	5,382
Lab. Cap Units	2,287
Electrocardiology Cap Units	0
Electroencephalogy Cap Units	0

Item Name:	Item Value:
Salaries & Wages	1,856,336
Physicians Remuneration	0
Benefits	793,733
Fees	3,419,567
Supplies	10,793
Contract Svcs	134,351
Deprec. Lease & Rentals	0
Other Direct Exp.	176,747
Total	6,391,527

Item Name:	Item Value:
Salaries & Wages	17,435,221
Physicians Remuneration	0
Benefits	7,454,965
Fees	47,252
Supplies	1,001,205
Contract Svcs	18,342
Deprec. Lease & Rentals	86,618
Other Direct Exp.	6,520
Total	26,050,123

Facility Summary (View Report Statewide)

Certifier Information (View Report Statewide)

Report Contact (View Report Statewide)

Accountant Information (View Report Statewide)

Occupancy (View Report Statewide)

Rate Data (View Report Statewide)

Patient Days by Payor (View Report Statewide)

Salaries and Wages (View Report Statewide)

Employee Benefits (View Report Statewide)

Employee Types (View Report Statewide)

Related Companies (View Report Statewide)

Owners (View Report Statewide)

Corporate Stockholder/Board Member (View Report Statewide)

Corporate Stockholders (View Report Statewide)

Administrator/Officer Salary (View Report Statewide)

Vehicles (View Report Statewide)

Capitalized Leased Equipment (View Report Statewide)

Building Fixed Equipment (View Report Statewide)

Land/Leasehold Improvement (View Report Statewide)

Moveable Equipment (View Report Statewide)

Other Property Expense (View Report Statewide)

Tangible Property Ownership (View Report Statewide)

Laboratory (View Report Statewide)

Electrocardiology (View Report Statewide)

Electroencephalogy (View Report Statewide)

Radiology (View Report Statewide)

Inhalation Therapy (View Report Statewide)

Podiatry (View Report Statewide)

Dental (View Report Statewide)

Psychicatric (View Report Statewide)

Physical Therapy (View Report Statewide)

Occupational Therapy (View Report Statewide)

Speech and Hearing Therapy (View Report Statewide)

Pharmacy (View Report Statewide)

Central Service Supply (View Report Statewide)

Medical Staff Services (View Report Statewide)

Fiscal (View Report Statewide)

Administrative (View Report Statewide)

Plant Operation and Maintenance (View Report Statewide)

Grounds (View Report Statewide)

Security (View Report Statewide)

Nursing Administration (View Report Statewide)

Activities Program (View Report Statewide)

NonPhysician Education (View Report Statewide)

Medical Education (View Report Statewide)

Medical Directors Office (View Report Statewide)

Housing (View Report Statewide)

Medical Records (View Report Statewide)

Utilization Review (View Report Statewide)

Social Service (View Report Statewide)

Transportation (View Report Statewide)

Ancillary Revenue (View Report Statewide)

General Revenue & Expense (View Report Statewide)

Program Services Expense (View Report Statewide)

Program Services Revenue (View Report Statewide)

Ancillary Expense (View Report Statewide)

General Services Expense (View Report Statewide)

Current Liabilities (View Report Statewide)

Non-Current Liabilities (View Report Statewide)

Bad Debts (View Report Statewide)

Working Capital Interest (View Report Statewide)

Annual Capital Listing (View Report Statewide)

Current Assets (View Report Statewide)

Non-Current Assets (View Report Statewide)

Fund Balance (View Report Statewide)

Equity (View Report Statewide)

Net Assets (View Report Statewide)

Contract and Fee Services (View Report Statewide)

Fees (View Report Statewide)

Other Direct Expenses (View Report Statewide)

Standardized Unit Metrics 1 (View Report Statewide)

Standardized Unit Metrics 2 (View Report Statewide)

Other Program Services (View Report Statewide)

Barber and Beauty Shop (View Report Statewide)

Gift Shop (View Report Statewide)

Adult Care Facility (View Report Statewide)

Sold Services (View Report Statewide)

ICF Mental Retardation (View Report Statewide)

Outpatient Clinics (View Report Statewide)

Public Restaurant (View Report Statewide)