Avista Healthcare - Cherry Hill Nursing Home
General Information
UPDATEFederal Provider Number
315068
Provider Name
AVISTA HEALTHCARE
Provider Address
3025 CHAPEL AVENUE WEST
CHERRY HILL, NJ 8002
CHERRY HILL, NJ 8002
Provider Phone Number
(856) 675-3000
Provider SSA County
160
Provider County Name
Camden
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
162
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NURSING HOME SERVICES LLC
Date First Approved to Provide Medicare and Medicaid services
1973-04-01
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
3.26563
Reported LPN Staffing Hours per Resident per Day
1.57031
Reported RN Staffing Hours per Resident per Day
1.05039
Reported Licensed Staffing Hours per Resident per Day
2.62070
Reported Total Nurse Staffing Hours per Resident per Day
5.88633
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12305
Expected CNA Staffing Hours per Resident per Day
2.41178
Expected LPN Staffing Hours per Resident per Day
0.69528
Expected RN Staffing Hours per Resident per Day
1.31269
Expected Total Nurse Staffing Hours per Resident per Day
4.41974
Adjusted CNA Staffing Hours per Resident per Day
3.32240
Adjusted LPN Staffing Hours per Resident per Day
1.87459
Adjusted RN Staffing Hours per Resident per Day
0.59790
Adjusted Total Nurse Staffing Hours per Resident per Day
5.36846
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-05-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-03-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-02-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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