Elmwood Hills Healthcare Center Llc - Blackwood Nursing Home

General Information

UPDATE
Federal Provider Number
315159
Provider Name
ELMWOOD HILLS HEALTHCARE CENTER LLC
Provider Address
425 WOODBURY-TURNERSVILLE ROAD
BLACKWOOD, NJ 8012
Provider Phone Number
(856) 374-6600
Provider SSA County
160
Provider County Name
Camden
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
300
Number of Residents in Certified Beds
287
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELMWOOD HILLS HEALTHCARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1977-11-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08275
Reported LPN Staffing Hours per Resident per Day
0.74652
Reported RN Staffing Hours per Resident per Day
0.41063
Reported Licensed Staffing Hours per Resident per Day
1.15714
Reported Total Nurse Staffing Hours per Resident per Day
3.23990
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09233
Expected CNA Staffing Hours per Resident per Day
2.32908
Expected LPN Staffing Hours per Resident per Day
0.57857
Expected RN Staffing Hours per Resident per Day
0.95407
Expected Total Nurse Staffing Hours per Resident per Day
3.86172
Adjusted CNA Staffing Hours per Resident per Day
2.19419
Adjusted LPN Staffing Hours per Resident per Day
1.07094
Adjusted RN Staffing Hours per Resident per Day
0.32159
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38184
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-04-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-04-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
651
Cycle 3 Standard Health Survey Date
2013-03-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
651
Total Weighted Health Survey Score
148.50000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
38221
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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