Care One At Wall - Wall Nursing Home
General Information
UPDATEFederal Provider Number
315485
Provider Name
CARE ONE AT WALL
Provider Address
2621 HIGHWAY 138
WALL, NJ 7719
WALL, NJ 7719
Provider Phone Number
(732) 556-1060
Provider SSA County
290
Provider County Name
Monmouth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE ONE AT WALL, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-09-10
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.13592
Reported LPN Staffing Hours per Resident per Day
0.71359
Reported RN Staffing Hours per Resident per Day
1.38252
Reported Licensed Staffing Hours per Resident per Day
2.09612
Reported Total Nurse Staffing Hours per Resident per Day
4.23203
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24612
Expected CNA Staffing Hours per Resident per Day
2.48974
Expected LPN Staffing Hours per Resident per Day
0.67522
Expected RN Staffing Hours per Resident per Day
1.29460
Expected Total Nurse Staffing Hours per Resident per Day
4.45956
Adjusted CNA Staffing Hours per Resident per Day
2.10500
Adjusted LPN Staffing Hours per Resident per Day
0.87716
Adjusted RN Staffing Hours per Resident per Day
0.79795
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82524
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-09-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-20
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-09-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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