Burlington Woods - Burlington Nursing Home
General Information
UPDATEFederal Provider Number
315050
Provider Name
BURLINGTON WOODS
Provider Address
115 SUNSET ROAD
BURLINGTON, NJ 8016
BURLINGTON, NJ 8016
Provider Phone Number
(609) 387-3620
Provider SSA County
150
Provider County Name
Burlington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
215
Number of Residents in Certified Beds
190
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
115 SUNSET ROAD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1976-12-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.00368
Reported LPN Staffing Hours per Resident per Day
0.67658
Reported RN Staffing Hours per Resident per Day
0.75342
Reported Licensed Staffing Hours per Resident per Day
1.43000
Reported Total Nurse Staffing Hours per Resident per Day
3.43368
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06053
Expected CNA Staffing Hours per Resident per Day
2.53150
Expected LPN Staffing Hours per Resident per Day
0.70370
Expected RN Staffing Hours per Resident per Day
1.10481
Expected Total Nurse Staffing Hours per Resident per Day
4.34001
Adjusted CNA Staffing Hours per Resident per Day
1.94210
Adjusted LPN Staffing Hours per Resident per Day
0.79801
Adjusted RN Staffing Hours per Resident per Day
0.50955
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18912
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
155
Cycle 2 Standard Health Survey Date
2013-07-08
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
155
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-04-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
93.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
19
Number of Fines
1
Total Amount of Fines in Dollars
14788
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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