South Shore Rehabilitation and Nursing Center
275 W Merrick Road, Freeport, NY 11520


South Shore Rehabilitation and Nursing Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 335156. The address is 275 W Merrick Road, Freeport, NY 11520. The zip code is 11520. The phone number is 5166234000.


South Shore Rehabilitation and Nursing Center · 275 W Merrick Road, Freeport, NY 11520

Federal Provider Number 335156
Provider Name SOUTH SHORE REHABILITATION AND NURSING CENTER
Address 275 W MERRICK ROAD
FREEPORT, NY 11520
Phone Number 5166234000
SSA County Code 400
County Name Nassau
Ownership Type For profit - Partnership
Certified Beds 100
Certified Beds Residents 93
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SOUTH SHORE REHABILITATION LLC
Date First Approved to Provide Medicare Medicaid Services 09/18/1979
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 Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.32366
Reported LPN Staffing Hours per Resident per Day 0.7172
Reported RN Staffing Hours per Resident per Day 1.00968
Reported Licensed Staffing Hours per Resident per Day 1.72688
Reported Total Nurse Staffing Hours per Resident per Day 4.05054
Reported Physical Therapist Staffing Hours per Resident Per Day 0.11505
Expected CNA Staffing Hours per Resident per Day 2.65835
Expected LPN Staffing Hours per Resident per Day 0.91288
Expected RN Staffing Hours per Resident per Day 1.60135
Expected Total Nurse Staffing Hours per Resident per Day 5.17258
Adjusted CNA Staffing Hours per Resident per Day 2.14477
Adjusted LPN Staffing Hours per Resident per Day 0.65209
Adjusted RN Staffing Hours per Resident per Day 0.47112
Adjusted Total Nurse Staffing Hours per Resident per Day 3.15651
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 04/14/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 03/18/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 04/30/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 12.667
Number of Substantiated Complaints 4
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · South Shore Rehabilitation and Nursing Center

Owner Name Role Association Date
ABRAMCZYK, SOLOMON (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
since 02/26/2014
ABRAMCZYK, SOLOMON (Individual) MANAGING EMPLOYEE since 02/26/2014
LANDA, ESTHER (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
45%
since 02/26/2014
PLATSCHEK, RICHARD (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
since 02/26/2014
SCHUCK, ROBERT (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
since 02/26/2014

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