Country Arch Care Center - Pittstown Nursing Home
General Information
UPDATEFederal Provider Number
315433
Provider Name
COUNTRY ARCH CARE CENTER
Provider Address
114 PITTSTOWN ROAD
PITTSTOWN, NJ 8867
PITTSTOWN, NJ 8867
Provider Phone Number
(908) 735-6600
Provider SSA County
250
Provider County Name
Hunterdon
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRY ARCH CARE CENTER, LLC
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
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.20673
Reported LPN Staffing Hours per Resident per Day
0.44231
Reported RN Staffing Hours per Resident per Day
0.98510
Reported Licensed Staffing Hours per Resident per Day
1.42740
Reported Total Nurse Staffing Hours per Resident per Day
3.63414
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05481
Expected CNA Staffing Hours per Resident per Day
2.68950
Expected LPN Staffing Hours per Resident per Day
0.61840
Expected RN Staffing Hours per Resident per Day
1.00569
Expected Total Nurse Staffing Hours per Resident per Day
4.31359
Adjusted CNA Staffing Hours per Resident per Day
2.01325
Adjusted LPN Staffing Hours per Resident per Day
0.59366
Adjusted RN Staffing Hours per Resident per Day
0.73190
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39598
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-19
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
25.33300
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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