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Collingswood Manor - Collingswood Nursing Home

General Information

UPDATE
Federal Provider Number
315404
Provider Name
COLLINGSWOOD MANOR
Provider Address
460 HADDON AVE
COLLINGSWOOD, NJ 8108
Provider Phone Number
8568544331
Provider SSA County
160
Provider County Name
Camden
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED METHODIST HOMES OF NEW JERSEY
Date First Approved to Provide Medicare and Medicaid services
1997-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2.66667
Reported LPN Staffing Hours per Resident per Day
0.95250
Reported RN Staffing Hours per Resident per Day
1.02333
Reported Licensed Staffing Hours per Resident per Day
1.97583
Reported Total Nurse Staffing Hours per Resident per Day
4.64250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19083
Expected CNA Staffing Hours per Resident per Day
2.57605
Expected LPN Staffing Hours per Resident per Day
0.56714
Expected RN Staffing Hours per Resident per Day
0.79506
Expected Total Nurse Staffing Hours per Resident per Day
3.93825
Adjusted CNA Staffing Hours per Resident per Day
2.54002
Adjusted LPN Staffing Hours per Resident per Day
1.39398
Adjusted RN Staffing Hours per Resident per Day
0.96172
Adjusted Total Nurse Staffing Hours per Resident per Day
4.75172
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
2015-04-21
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-06-23
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-07-03
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
6150
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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