Amboy Care Center - Perth Amboy Nursing Home
General Information
UPDATEFederal Provider Number
315305
Provider Name
AMBOY CARE CENTER
Provider Address
1 LINDBERG AVENUE
PERTH AMBOY, NJ 8861
PERTH AMBOY, NJ 8861
Provider Phone Number
7328260500
Provider SSA County
270
Provider County Name
Middlesex
Ownership Type
For profit - Limited Liability
Number of Certified Beds
179
Number of Residents in Certified Beds
161
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MR OF AMBOY LLC
Date First Approved to Provide Medicare and Medicaid services
1991-05-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.85870
Reported LPN Staffing Hours per Resident per Day
0.86957
Reported RN Staffing Hours per Resident per Day
0.50776
Reported Licensed Staffing Hours per Resident per Day
1.37733
Reported Total Nurse Staffing Hours per Resident per Day
3.23603
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11180
Expected CNA Staffing Hours per Resident per Day
2.19615
Expected LPN Staffing Hours per Resident per Day
0.60444
Expected RN Staffing Hours per Resident per Day
0.90418
Expected Total Nurse Staffing Hours per Resident per Day
3.70477
Adjusted CNA Staffing Hours per Resident per Day
2.07668
Adjusted LPN Staffing Hours per Resident per Day
1.19408
Adjusted RN Staffing Hours per Resident per Day
0.41960
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52090
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-12-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-25
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
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-10-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
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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