Care One At Holmdel - Holmdel Nursing Home
General Information
UPDATEFederal Provider Number
315092
Provider Name
CARE ONE AT HOLMDEL
Provider Address
188 HIGHWAY 34
HOLMDEL, NJ 7733
HOLMDEL, NJ 7733
Provider Phone Number
(732) 946-4200
Provider SSA County
290
Provider County Name
Monmouth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HCC LLC
Date First Approved to Provide Medicare and Medicaid services
1968-10-04
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
5
QM Rating Footnote
Staffing Rating
2
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
1.76466
Reported LPN Staffing Hours per Resident per Day
0.65560
Reported RN Staffing Hours per Resident per Day
1.10302
Reported Licensed Staffing Hours per Resident per Day
1.75862
Reported Total Nurse Staffing Hours per Resident per Day
3.52328
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23879
Expected CNA Staffing Hours per Resident per Day
2.53487
Expected LPN Staffing Hours per Resident per Day
0.71128
Expected RN Staffing Hours per Resident per Day
1.29869
Expected Total Nurse Staffing Hours per Resident per Day
4.54484
Adjusted CNA Staffing Hours per Resident per Day
1.70815
Adjusted LPN Staffing Hours per Resident per Day
0.76503
Adjusted RN Staffing Hours per Resident per Day
0.63462
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12486
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
178
Cycle 1 Standard Survey Health Date
2014-10-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
178
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
2013-11-25
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-12-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
95.00000
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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