Fountain View Care Center - Lakewood Nursing Home
General Information
UPDATEFederal Provider Number
315327
Provider Name
FOUNTAIN VIEW CARE CENTER
Provider Address
527 RIVER AVE
LAKEWOOD, NJ 8701
LAKEWOOD, NJ 8701
Provider Phone Number
(732) 905-0700
Provider SSA County
310
Provider County Name
Ocean
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHORE HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-09-07
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.07417
Reported LPN Staffing Hours per Resident per Day
0.69917
Reported RN Staffing Hours per Resident per Day
0.60583
Reported Licensed Staffing Hours per Resident per Day
1.30500
Reported Total Nurse Staffing Hours per Resident per Day
3.37917
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10792
Expected CNA Staffing Hours per Resident per Day
2.37058
Expected LPN Staffing Hours per Resident per Day
0.62325
Expected RN Staffing Hours per Resident per Day
0.99993
Expected Total Nurse Staffing Hours per Resident per Day
3.99376
Adjusted CNA Staffing Hours per Resident per Day
2.14689
Adjusted LPN Staffing Hours per Resident per Day
0.93110
Adjusted RN Staffing Hours per Resident per Day
0.45271
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41059
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-11-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-04
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
21.33300
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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