Dwelling Place At St Clare's - Dover Nursing Home
General Information
UPDATEFederal Provider Number
315019
Provider Name
DWELLING PLACE AT ST CLARE'S
Provider Address
400 WEST BLACKWELL ST
DOVER, NJ 7801
DOVER, NJ 7801
Provider Phone Number
(973) 989-3500
Provider SSA County
300
Provider County Name
Morris
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
25
Number of Residents in Certified Beds
24
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAINT CLARE'S HOSPITAL 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
None
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
3
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
3.09792
Reported LPN Staffing Hours per Resident per Day
0.54792
Reported RN Staffing Hours per Resident per Day
3.13750
Reported Licensed Staffing Hours per Resident per Day
3.68542
Reported Total Nurse Staffing Hours per Resident per Day
6.78334
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04167
Expected CNA Staffing Hours per Resident per Day
2.79504
Expected LPN Staffing Hours per Resident per Day
1.41759
Expected RN Staffing Hours per Resident per Day
1.95693
Expected Total Nurse Staffing Hours per Resident per Day
6.16957
Adjusted CNA Staffing Hours per Resident per Day
2.71959
Adjusted LPN Staffing Hours per Resident per Day
0.32081
Adjusted RN Staffing Hours per Resident per Day
1.19797
Adjusted Total Nurse Staffing Hours per Resident per Day
4.43191
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-04-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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