Forest Hills Care Center
71 44 Yellowstone Blvd, Forest Hills, NY 11375


Forest Hills Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 335139. The address is 71 44 Yellowstone Blvd, Forest Hills, NY 11375. The zip code is 11375. The phone number is 7185444300.


Forest Hills Care Center · 71 44 Yellowstone Blvd, Forest Hills, NY 11375

Federal Provider Number 335139
Provider Name FOREST HILLS CARE CENTER
Address 71 44 YELLOWSTONE BLVD
FOREST HILLS, NY 11375
Phone Number 7185444300
SSA County Code 590
County Name Queens
Ownership Type For profit - Partnership
Certified Beds 100
Certified Beds Residents 88
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FOREST HILLS CARE CENTER
Date First Approved to Provide Medicare Medicaid Services 11/18/1968
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Partial
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 0.7517
Reported LPN Staffing Hours per Resident per Day 1.94886
Reported RN Staffing Hours per Resident per Day 1.13693
Reported Licensed Staffing Hours per Resident per Day 3.0858
Reported Total Nurse Staffing Hours per Resident per Day 3.83749
Reported Physical Therapist Staffing Hours per Resident Per Day 0.13864
Expected CNA Staffing Hours per Resident per Day 2.42561
Expected LPN Staffing Hours per Resident per Day 0.67069
Expected RN Staffing Hours per Resident per Day 1.29175
Expected Total Nurse Staffing Hours per Resident per Day 4.38805
Adjusted CNA Staffing Hours per Resident per Day 0.7604
Adjusted LPN Staffing Hours per Resident per Day 2.41178
Adjusted RN Staffing Hours per Resident per Day 0.65764
Adjusted Total Nurse Staffing Hours per Resident per Day 3.52515
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 09/02/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Health Survey Date 07/17/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 12
Cycle 3 Standard Health Survey Date 07/09/2014
Total Weighted Health Survey Score 10
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Forest Hills Care Center

Owner Name Role Association Date
HERZBERG, CHAIM (Individual) MANAGING EMPLOYEE since 01/04/2016
HERZBERG, CHAIM (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/04/2016
JANKLOWICZ, JACK (Individual) PARTNERSHIP INTEREST since 12/01/1997
JANKLOWICZ, LEONARD (Individual) PARTNERSHIP INTEREST since 12/01/1997
LANDA, BENJAMIN (Individual) PARTNERSHIP INTEREST since 01/01/2012
LANDA, JUDY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
since 12/11/2015
LANDA, SHAYA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
since 12/11/2015
POLLAK, RENEE (Individual) PARTNERSHIP INTEREST since 01/01/1997
WEBSTER, HELEN (Individual) PARTNERSHIP INTEREST since 01/01/2012

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