Clark Nursing And Rehab Cntr - Clark Nursing Home
General Information
UPDATEFederal Provider Number
315341
Provider Name
CLARK NURSING AND REHAB CNTR
Provider Address
1213 WESTFIELD AVENUE
CLARK, NJ 7066
CLARK, NJ 7066
Provider Phone Number
(732) 396-7100
Provider SSA County
370
Provider County Name
Union
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLARK NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1995-03-03
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
3
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
2.32101
Reported LPN Staffing Hours per Resident per Day
0.76891
Reported RN Staffing Hours per Resident per Day
0.95210
Reported Licensed Staffing Hours per Resident per Day
1.72101
Reported Total Nurse Staffing Hours per Resident per Day
4.04202
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16513
Expected CNA Staffing Hours per Resident per Day
2.57057
Expected LPN Staffing Hours per Resident per Day
0.68215
Expected RN Staffing Hours per Resident per Day
1.07073
Expected Total Nurse Staffing Hours per Resident per Day
4.32345
Adjusted CNA Staffing Hours per Resident per Day
2.21549
Adjusted LPN Staffing Hours per Resident per Day
0.93557
Adjusted RN Staffing Hours per Resident per Day
0.66441
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76852
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-10
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
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
44
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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