New Jersey Nursing Homes >> Hope Nursing Homes >> Forest Manor Hcc

Forest Manor Hcc - Hope Nursing Home

General Information

UPDATE
Federal Provider Number
315224
Provider Name
FOREST MANOR HCC
Provider Address
145 STATE PARK ROAD
HOPE, NJ 7844
Provider Phone Number
(908) 459-4128
Provider SSA County
390
Provider County Name
Warren
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOREST MANOR MANAGEMENT, LLC
Date First Approved to Provide Medicare and Medicaid services
1986-03-12
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
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.68287
Reported LPN Staffing Hours per Resident per Day
0.70880
Reported RN Staffing Hours per Resident per Day
0.26991
Reported Licensed Staffing Hours per Resident per Day
0.97870
Reported Total Nurse Staffing Hours per Resident per Day
2.66158
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12083
Expected CNA Staffing Hours per Resident per Day
2.32501
Expected LPN Staffing Hours per Resident per Day
0.60615
Expected RN Staffing Hours per Resident per Day
1.10091
Expected Total Nurse Staffing Hours per Resident per Day
4.03207
Adjusted CNA Staffing Hours per Resident per Day
1.77602
Adjusted LPN Staffing Hours per Resident per Day
0.97056
Adjusted RN Staffing Hours per Resident per Day
0.18319
Adjusted Total Nurse Staffing Hours per Resident per Day
2.66081
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
16
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
4
Cycle 3 Standard Health Survey Date
2012-05-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
8.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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