Daughters Of Israel Pleasant Valley Home - West Orange Nursing Home
General Information
UPDATEFederal Provider Number
315029
Provider Name
DAUGHTERS OF ISRAEL PLEASANT VALLEY HOME
Provider Address
1155 PLEASANT VALLEY WAY
WEST ORANGE, NJ 7052
WEST ORANGE, NJ 7052
Provider Phone Number
9737315100
Provider SSA County
200
Provider County Name
Essex
Ownership Type
Non profit - Corporation
Number of Certified Beds
303
Number of Residents in Certified Beds
283
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DAUGHTERS OF ISRAEL, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
Partial
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.69258
Reported LPN Staffing Hours per Resident per Day
0.42951
Reported RN Staffing Hours per Resident per Day
1.00283
Reported Licensed Staffing Hours per Resident per Day
1.43233
Reported Total Nurse Staffing Hours per Resident per Day
4.12492
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10088
Expected CNA Staffing Hours per Resident per Day
2.45734
Expected LPN Staffing Hours per Resident per Day
0.63427
Expected RN Staffing Hours per Resident per Day
1.02066
Expected Total Nurse Staffing Hours per Resident per Day
4.11226
Adjusted CNA Staffing Hours per Resident per Day
2.68860
Adjusted LPN Staffing Hours per Resident per Day
0.56205
Adjusted RN Staffing Hours per Resident per Day
0.73415
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04331
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
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
60
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
7
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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