Evergreens, The - Moorestown Nursing Home
General Information
UPDATEFederal Provider Number
315077
Provider Name
EVERGREENS, THE
Provider Address
309 BRIDGEBORO ROAD
MOORESTOWN, NJ 8057
MOORESTOWN, NJ 8057
Provider Phone Number
(856) 439-2000
Provider SSA County
150
Provider County Name
Burlington
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
34
Number of Residents in Certified Beds
34
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
THE EVERGREENS
Date First Approved to Provide Medicare and Medicaid services
1968-01-01
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.51324
Reported LPN Staffing Hours per Resident per Day
0.16765
Reported RN Staffing Hours per Resident per Day
1.42794
Reported Licensed Staffing Hours per Resident per Day
1.59559
Reported Total Nurse Staffing Hours per Resident per Day
4.10883
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18088
Expected CNA Staffing Hours per Resident per Day
2.37978
Expected LPN Staffing Hours per Resident per Day
0.62617
Expected RN Staffing Hours per Resident per Day
1.02851
Expected Total Nurse Staffing Hours per Resident per Day
4.03446
Adjusted CNA Staffing Hours per Resident per Day
2.59131
Adjusted LPN Staffing Hours per Resident per Day
0.22222
Adjusted RN Staffing Hours per Resident per Day
1.03738
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10520
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-02-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-04-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
16.00000
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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