Arnold Walter Nursing Home - Hazlet Nursing Home
General Information
UPDATEFederal Provider Number
315119
Provider Name
ARNOLD WALTER NURSING HOME
Provider Address
622 S LAUREL AVENUE
HAZLET, NJ 7730
HAZLET, NJ 7730
Provider Phone Number
(732) 787-6300
Provider SSA County
290
Provider County Name
Monmouth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
202
Number of Residents in Certified Beds
167
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROSEEN REALTY CORP
Date First Approved to Provide Medicare and Medicaid services
1975-10-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.14521
Reported LPN Staffing Hours per Resident per Day
0.68443
Reported RN Staffing Hours per Resident per Day
0.66677
Reported Licensed Staffing Hours per Resident per Day
1.35120
Reported Total Nurse Staffing Hours per Resident per Day
3.49641
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07395
Expected CNA Staffing Hours per Resident per Day
2.55572
Expected LPN Staffing Hours per Resident per Day
0.58471
Expected RN Staffing Hours per Resident per Day
0.86819
Expected Total Nurse Staffing Hours per Resident per Day
4.00862
Adjusted CNA Staffing Hours per Resident per Day
2.05958
Adjusted LPN Staffing Hours per Resident per Day
0.97155
Adjusted RN Staffing Hours per Resident per Day
0.57385
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51584
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-03-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
2.66700
Number of Facility Reported Incidents
0
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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