Allendale Nursing Home - Allendale Nursing Home
General Information
UPDATEFederal Provider Number
315497
Provider Name
ALLENDALE NURSING HOME
Provider Address
85 HARRETON ROAD
ALLENDALE, NJ 7401
ALLENDALE, NJ 7401
Provider Phone Number
2018250660
Provider SSA County
100
Provider County Name
Bergen
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALLENDALE NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
2006-06-02
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60115
Reported LPN Staffing Hours per Resident per Day
0.48851
Reported RN Staffing Hours per Resident per Day
1.03908
Reported Licensed Staffing Hours per Resident per Day
1.52759
Reported Total Nurse Staffing Hours per Resident per Day
4.12874
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21322
Expected CNA Staffing Hours per Resident per Day
2.52445
Expected LPN Staffing Hours per Resident per Day
0.61835
Expected RN Staffing Hours per Resident per Day
1.01645
Expected Total Nurse Staffing Hours per Resident per Day
4.15926
Adjusted CNA Staffing Hours per Resident per Day
2.52825
Adjusted LPN Staffing Hours per Resident per Day
0.65571
Adjusted RN Staffing Hours per Resident per Day
0.76384
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00132
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2014-03-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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