N J Eastern Star Home - Bridgewater Nursing Home

General Information

UPDATE
Federal Provider Number
315419
Provider Name
N J EASTERN STAR HOME
Provider Address
111 FINDERNE AVENUE
BRIDGEWATER, NJ 8807
Provider Phone Number
9087224140
Provider SSA County
350
Provider County Name
Somerset
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEW JERSEY EASTERN STAR HOME FOR THE AGED INC
Date First Approved to Provide Medicare and Medicaid services
1997-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.67347
Reported LPN Staffing Hours per Resident per Day
1.06122
Reported RN Staffing Hours per Resident per Day
0.52755
Reported Licensed Staffing Hours per Resident per Day
1.58878
Reported Total Nurse Staffing Hours per Resident per Day
4.26224
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00918
Expected CNA Staffing Hours per Resident per Day
2.22457
Expected LPN Staffing Hours per Resident per Day
0.51833
Expected RN Staffing Hours per Resident per Day
0.68719
Expected Total Nurse Staffing Hours per Resident per Day
3.43008
Adjusted CNA Staffing Hours per Resident per Day
2.94884
Adjusted LPN Staffing Hours per Resident per Day
1.69934
Adjusted RN Staffing Hours per Resident per Day
0.57362
Adjusted Total Nurse Staffing Hours per Resident per Day
5.00882
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
87
Cycle 1 Standard Survey Health Date
2015-03-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
87
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-05-29
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-06-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
51.50000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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