Care One At Wellington - Hackensack Nursing Home
General Information
UPDATEFederal Provider Number
315152
Provider Name
CARE ONE AT WELLINGTON
Provider Address
301 UNION ST
HACKENSACK, NJ 7601
HACKENSACK, NJ 7601
Provider Phone Number
2014874900
Provider SSA County
100
Provider County Name
Bergen
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
301 UNION STREET, LLC
Date First Approved to Provide Medicare and Medicaid services
1974-04-18
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
4
Health Inspection Rating Footnote
QM Rating
5
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
2.12298
Reported LPN Staffing Hours per Resident per Day
0.74556
Reported RN Staffing Hours per Resident per Day
1.57218
Reported Licensed Staffing Hours per Resident per Day
2.31774
Reported Total Nurse Staffing Hours per Resident per Day
4.44072
Reported Physical Therapist Staffing Hours per Resident Per Day
0.30081
Expected CNA Staffing Hours per Resident per Day
2.55420
Expected LPN Staffing Hours per Resident per Day
0.81228
Expected RN Staffing Hours per Resident per Day
1.52900
Expected Total Nurse Staffing Hours per Resident per Day
4.89548
Adjusted CNA Staffing Hours per Resident per Day
2.03945
Adjusted LPN Staffing Hours per Resident per Day
0.76182
Adjusted RN Staffing Hours per Resident per Day
0.76830
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65646
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
8
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
16.66700
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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