Brakeley Park Center - Phillipsburg Nursing Home
General Information
UPDATEFederal Provider Number
315316
Provider Name
BRAKELEY PARK CENTER
Provider Address
290 RED SCHOOL LANE
PHILLIPSBURG, NJ 8865
PHILLIPSBURG, NJ 8865
Provider Phone Number
(908) 859-2800
Provider SSA County
390
Provider County Name
Warren
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
290 RED SCHOOL LANE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1992-09-17
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.00672
Reported LPN Staffing Hours per Resident per Day
0.63908
Reported RN Staffing Hours per Resident per Day
0.94202
Reported Licensed Staffing Hours per Resident per Day
1.58109
Reported Total Nurse Staffing Hours per Resident per Day
3.58782
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11261
Expected CNA Staffing Hours per Resident per Day
2.51930
Expected LPN Staffing Hours per Resident per Day
0.60659
Expected RN Staffing Hours per Resident per Day
0.98686
Expected Total Nurse Staffing Hours per Resident per Day
4.11275
Adjusted CNA Staffing Hours per Resident per Day
1.95447
Adjusted LPN Staffing Hours per Resident per Day
0.87445
Adjusted RN Staffing Hours per Resident per Day
0.71325
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51642
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
2015-04-08
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-05-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-05-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
9.33300
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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