Chestnut Hill Conv Center - Passaic Nursing Home
General Information
UPDATEFederal Provider Number
315085
Provider Name
CHESTNUT HILL CONV CENTER
Provider Address
360 CHESTNUT STREET
PASSAIC, NJ 7055
PASSAIC, NJ 7055
Provider Phone Number
9737777800
Provider SSA County
320
Provider County Name
Passaic
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHESTNUT HILL CONVALESCENT & REHABILITATION CENTER
Date First Approved to Provide Medicare and Medicaid services
1968-04-01
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
2
Health Inspection Rating Footnote
QM Rating
3
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
1.91833
Reported LPN Staffing Hours per Resident per Day
0.70722
Reported RN Staffing Hours per Resident per Day
0.76889
Reported Licensed Staffing Hours per Resident per Day
1.47611
Reported Total Nurse Staffing Hours per Resident per Day
3.39444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27056
Expected CNA Staffing Hours per Resident per Day
2.61553
Expected LPN Staffing Hours per Resident per Day
0.72423
Expected RN Staffing Hours per Resident per Day
1.12415
Expected Total Nurse Staffing Hours per Resident per Day
4.46391
Adjusted CNA Staffing Hours per Resident per Day
1.79964
Adjusted LPN Staffing Hours per Resident per Day
0.81050
Adjusted RN Staffing Hours per Resident per Day
0.51107
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06517
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-11-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-09
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
4
Cycle 3 Standard Health Survey Date
2013-02-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
33.33300
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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