Childrens Specialized Hospital Mountainside - Mountainside Nursing Home
General Information
UPDATEFederal Provider Number
315239
Provider Name
CHILDRENS SPECIALIZED HOSPITAL MOUNTAINSIDE
Provider Address
150 NEW PROVIDENCE ROAD
MOUNTAINSIDE, NJ 7092
MOUNTAINSIDE, NJ 7092
Provider Phone Number
(908) 233-3720
Provider SSA County
370
Provider County Name
Union
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1986-10-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
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
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
2.75556
Reported LPN Staffing Hours per Resident per Day
1.54778
Reported RN Staffing Hours per Resident per Day
2.02444
Reported Licensed Staffing Hours per Resident per Day
3.57222
Reported Total Nurse Staffing Hours per Resident per Day
6.32778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07889
Expected CNA Staffing Hours per Resident per Day
2.70135
Expected LPN Staffing Hours per Resident per Day
1.13050
Expected RN Staffing Hours per Resident per Day
1.53916
Expected Total Nurse Staffing Hours per Resident per Day
5.37100
Adjusted CNA Staffing Hours per Resident per Day
2.50294
Adjusted LPN Staffing Hours per Resident per Day
1.13637
Adjusted RN Staffing Hours per Resident per Day
0.98279
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74895
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-29
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
24
Cycle 2 Standard Health Survey Date
2013-06-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
2012-07-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
8.66700
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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