Forest Hill Healthcare Center - Newark Nursing Home

General Information

UPDATE
Federal Provider Number
315375
Provider Name
FOREST HILL HEALTHCARE CENTER
Provider Address
497 MT PROSPECT AVE
NEWARK, NJ 7104
Provider Phone Number
(973) 482-5000
Provider SSA County
200
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOREST HILL HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-12-01
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16048
Reported LPN Staffing Hours per Resident per Day
0.30667
Reported RN Staffing Hours per Resident per Day
0.98286
Reported Licensed Staffing Hours per Resident per Day
1.28952
Reported Total Nurse Staffing Hours per Resident per Day
3.45001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16048
Expected CNA Staffing Hours per Resident per Day
2.49013
Expected LPN Staffing Hours per Resident per Day
0.68869
Expected RN Staffing Hours per Resident per Day
1.13828
Expected Total Nurse Staffing Hours per Resident per Day
4.31710
Adjusted CNA Staffing Hours per Resident per Day
2.12888
Adjusted LPN Staffing Hours per Resident per Day
0.36959
Adjusted RN Staffing Hours per Resident per Day
0.64518
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22129
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
220
Cycle 2 Standard Health Survey Date
2013-09-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
220
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
76.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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