Crystal Lake Hlthcare & Rehab - Bayville Nursing Home
General Information
UPDATEFederal Provider Number
315125
Provider Name
CRYSTAL LAKE HLTHCARE & REHAB
Provider Address
395 LAKESIDE BLVD
BAYVILLE, NJ 8721
BAYVILLE, NJ 8721
Provider Phone Number
(732) 269-0500
Provider SSA County
310
Provider County Name
Ocean
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
235
Number of Residents in Certified Beds
226
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BAYVILLE HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1971-05-09
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.83938
Reported LPN Staffing Hours per Resident per Day
0.71903
Reported RN Staffing Hours per Resident per Day
0.32323
Reported Licensed Staffing Hours per Resident per Day
1.04226
Reported Total Nurse Staffing Hours per Resident per Day
2.88164
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02522
Expected CNA Staffing Hours per Resident per Day
2.28225
Expected LPN Staffing Hours per Resident per Day
0.66925
Expected RN Staffing Hours per Resident per Day
1.02850
Expected Total Nurse Staffing Hours per Resident per Day
3.98000
Adjusted CNA Staffing Hours per Resident per Day
1.97756
Adjusted LPN Staffing Hours per Resident per Day
0.89173
Adjusted RN Staffing Hours per Resident per Day
0.23483
Adjusted Total Nurse Staffing Hours per Resident per Day
2.91849
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-05-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-06-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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