Care One At Wayne - Snf - Wayne Nursing Home
General Information
UPDATEFederal Provider Number
315477
Provider Name
CARE ONE AT WAYNE - SNF
Provider Address
493 BLACK OAK RIDGE ROAD
WAYNE, NJ 7470
WAYNE, NJ 7470
Provider Phone Number
(973) 692-9500
Provider SSA County
320
Provider County Name
Passaic
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
73
Number of Residents in Certified Beds
54
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
493 BLACK OAK RIDGE ROAD, LLC
Date First Approved to Provide Medicare and Medicaid services
2002-06-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
5
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
3.17407
Reported LPN Staffing Hours per Resident per Day
1.32037
Reported RN Staffing Hours per Resident per Day
2.98241
Reported Licensed Staffing Hours per Resident per Day
4.30278
Reported Total Nurse Staffing Hours per Resident per Day
7.47685
Reported Physical Therapist Staffing Hours per Resident Per Day
0.63981
Expected CNA Staffing Hours per Resident per Day
2.50151
Expected LPN Staffing Hours per Resident per Day
0.81673
Expected RN Staffing Hours per Resident per Day
1.69920
Expected Total Nurse Staffing Hours per Resident per Day
5.01744
Adjusted CNA Staffing Hours per Resident per Day
3.11340
Adjusted LPN Staffing Hours per Resident per Day
1.34183
Adjusted RN Staffing Hours per Resident per Day
1.31147
Adjusted Total Nurse Staffing Hours per Resident per Day
6.00673
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
2015-04-17
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
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
119
Cycle 2 Standard Health Survey Date
2014-06-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
119
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-04-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
49.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
7638
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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