Maria Regina Residence Inc
1725 Brentwood Road, Brentwood, NY 11717


Maria Regina Residence Inc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 335837. The address is 1725 Brentwood Road, Brentwood, NY 11717. The zip code is 11717. The phone number is 6312734500.


Maria Regina Residence Inc · 1725 Brentwood Road, Brentwood, NY 11717

Federal Provider Number 335837
Provider Name MARIA REGINA RESIDENCE INC
Address 1725 BRENTWOOD ROAD
BRENTWOOD, NY 11717
Phone Number 6312734500
SSA County Code 700
County Name Suffolk
Ownership Type Non profit - Corporation
Certified Beds 188
Certified Beds Residents 180
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name MARIA REGINA RESIDENCE INC
Date First Approved to Provide Medicare Medicaid Services 02/26/2002
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 2
Reported CNA Staffing Hours per Resident per Day 2.46444
Reported LPN Staffing Hours per Resident per Day 0.885
Reported RN Staffing Hours per Resident per Day 0.49278
Reported Licensed Staffing Hours per Resident per Day 1.37778
Reported Total Nurse Staffing Hours per Resident per Day 3.84222
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05028
Expected CNA Staffing Hours per Resident per Day 2.64702
Expected LPN Staffing Hours per Resident per Day 0.658
Expected RN Staffing Hours per Resident per Day 0.99792
Expected Total Nurse Staffing Hours per Resident per Day 4.30294
Adjusted CNA Staffing Hours per Resident per Day 2.28445
Adjusted LPN Staffing Hours per Resident per Day 1.11634
Adjusted RN Staffing Hours per Resident per Day 0.36897
Adjusted Total Nurse Staffing Hours per Resident per Day 3.59931
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 4
Cycle 1 Standard Survey Health Date 12/06/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 4
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 8
Cycle 2 Standard Health Survey Date 12/14/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 8
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 8
Cycle 3 Standard Health Survey Date 01/02/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 8
Total Weighted Health Survey Score 6
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Maria Regina Residence Inc

Owner Name Role Association Date
BARTOLDUS, ELLEN (Individual) MANAGING EMPLOYEE since 06/01/2011
BARTOLDUS, ELLEN (Individual) OFFICER since 06/01/2011
BENNETT, AUSTIN (Individual) DIRECTOR since 01/01/2003
BOWLER, STEPHANIE (Individual) DIRECTOR since 01/01/2003
BRENNAN, CARYN (Individual) DIRECTOR since 01/01/2003
BUCKLEY, EDWARD (Individual) DIRECTOR since 01/01/2003
CASAGRANDE, ANN (Individual) DIRECTOR since 09/01/2008
COEN-CACIOPPO, EILEEN (Individual) DIRECTOR since 01/01/2004
DEERING, JOAN (Individual) DIRECTOR since 01/01/2003
DEVITO, ROBERT (Individual) DIRECTOR since 09/01/2006
FEULNER, JOANNE (Individual) DIRECTOR since 01/01/2003
GRANT, MICHAEL (Individual) DIRECTOR since 01/01/2003
GREENBERG, LAWRENCE (Individual) DIRECTOR since 12/01/2010
KINNEY, JANET (Individual) DIRECTOR since 09/01/2006
MCGANN, MARY (Individual) DIRECTOR since 01/01/2003
MULLALLY, KATHY (Individual) DIRECTOR since 01/01/2003
NELSON, FRANCIS (Individual) DIRECTOR since 12/01/2010
OSHAUGHNESSY, ALICE (Individual) DIRECTOR since 01/01/2003
PETITO, JOAN (Individual) DIRECTOR since 09/01/2006
QUARANTA, ANTHONY (Individual) DIRECTOR since 12/01/2010
SISTER OF SAINT JOSEPH (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/26/2001
SPRATT, MARY (Individual) DIRECTOR since 01/01/2003
WERNER, THEODORE (Individual) DIRECTOR since 09/01/2007
YZAGUIRRE, PHYLLIS (Individual) DIRECTOR since 01/01/2003

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