Clara Maass Medical Center - Belleville Nursing Home
General Information
UPDATEFederal Provider Number
315505
Provider Name
CLARA MAASS MEDICAL CENTER
Provider Address
ONE CLARA MAASS DRIVE
BELLEVILLE, NJ 7109
BELLEVILLE, NJ 7109
Provider Phone Number
(973) 450-2963
Provider SSA County
200
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
20
Number of Residents in Certified Beds
12
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CLARA MAASS MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
2009-10-07
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
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
3.12500
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
4.34167
Reported Licensed Staffing Hours per Resident per Day
4.34167
Reported Total Nurse Staffing Hours per Resident per Day
7.46667
Reported Physical Therapist Staffing Hours per Resident Per Day
1.03333
Expected CNA Staffing Hours per Resident per Day
2.80742
Expected LPN Staffing Hours per Resident per Day
0.91888
Expected RN Staffing Hours per Resident per Day
1.90141
Expected Total Nurse Staffing Hours per Resident per Day
5.62771
Adjusted CNA Staffing Hours per Resident per Day
2.73127
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.70615
Adjusted Total Nurse Staffing Hours per Resident per Day
5.34808
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
12
Cycle 2 Standard Health Survey Date
2014-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-03-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
7.33300
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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