The Amsterdam At Harborside
300 East Overlook, Port Washington, NY 11050


The Amsterdam At Harborside is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 335861. The address is 300 East Overlook, Port Washington, NY 11050. The zip code is 11050. The phone number is 5164726610.


The Amsterdam At Harborside · 300 East Overlook, Port Washington, NY 11050

Federal Provider Number 335861
Provider Name THE AMSTERDAM AT HARBORSIDE
Address 300 EAST OVERLOOK
PORT WASHINGTON, NY 11050
Phone Number 5164726610
SSA County Code 400
County Name Nassau
Ownership Type Non profit - Corporation
Certified Beds 56
Certified Beds Residents 51
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC.
Date First Approved to Provide Medicare Medicaid Services 03/08/2011
Continuing Care Retirement Community true
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 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.63431
Reported LPN Staffing Hours per Resident per Day 0.91569
Reported RN Staffing Hours per Resident per Day 1.82647
Reported Licensed Staffing Hours per Resident per Day 2.74216
Reported Total Nurse Staffing Hours per Resident per Day 5.37647
Reported Physical Therapist Staffing Hours per Resident Per Day 0.09706
Expected CNA Staffing Hours per Resident per Day 2.61142
Expected LPN Staffing Hours per Resident per Day 0.71625
Expected RN Staffing Hours per Resident per Day 1.14419
Expected Total Nurse Staffing Hours per Resident per Day 4.47186
Adjusted CNA Staffing Hours per Resident per Day 2.47521
Adjusted LPN Staffing Hours per Resident per Day 1.06111
Adjusted RN Staffing Hours per Resident per Day 1.19276
Adjusted Total Nurse Staffing Hours per Resident per Day 4.84631
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 03/17/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 8
Cycle 2 Standard Health Survey Date 02/12/2016
Cycle 2 Total Health Score 8
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 02/13/2015
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 7.333
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · The Amsterdam At Harborside

Owner Name Role Association Date
DAVIS, JAMES (Individual) OFFICER since 06/01/2010
GUEDOUAR, SAM (Individual) DIRECTOR since 04/01/2012
MANSFIELD, LUCILLE (Individual) DIRECTOR since 11/01/2013
PANCIRER, MARK (Individual) OFFICER since 06/01/2010
VEKSLER, ANATOLY (Individual) MANAGING EMPLOYEE since 06/27/2013

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