Churchman Village - Newark Nursing Home
General Information
UPDATEFederal Provider Number
85025
Provider Name
CHURCHMAN VILLAGE
Provider Address
4949 OGLETOWN-STANTON ROAD
NEWARK, DE 19713
NEWARK, DE 19713
Provider Phone Number
(302) 998-6900
Provider SSA County
10
Provider County Name
New Castle
Provider Website
Provider Description
Ownership Type
Non 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
HOOSIER CARE INC
Date First Approved to Provide Medicare and Medicaid services
1984-01-23
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
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.39667
Reported LPN Staffing Hours per Resident per Day
0.62111
Reported RN Staffing Hours per Resident per Day
0.93000
Reported Licensed Staffing Hours per Resident per Day
1.55111
Reported Total Nurse Staffing Hours per Resident per Day
3.94778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.32890
Expected LPN Staffing Hours per Resident per Day
0.58182
Expected RN Staffing Hours per Resident per Day
0.98382
Expected Total Nurse Staffing Hours per Resident per Day
3.89454
Adjusted CNA Staffing Hours per Resident per Day
2.52510
Adjusted LPN Staffing Hours per Resident per Day
0.88605
Adjusted RN Staffing Hours per Resident per Day
0.70632
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08600
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-01-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-02-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-02-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
14
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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