Friends Village At Woodstown - Woodstown Nursing Home
General Information
UPDATEFederal Provider Number
315161
Provider Name
FRIENDS VILLAGE AT WOODSTOWN
Provider Address
ONE FRIENDS DRIVE
WOODSTOWN, NJ 8098
WOODSTOWN, NJ 8098
Provider Phone Number
(856) 769-1500
Provider SSA County
340
Provider County Name
Salem
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRIENDS HOME AT WOODSTOWN, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-05-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.81078
Reported LPN Staffing Hours per Resident per Day
0.96863
Reported RN Staffing Hours per Resident per Day
0.78922
Reported Licensed Staffing Hours per Resident per Day
1.75784
Reported Total Nurse Staffing Hours per Resident per Day
4.56863
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26961
Expected CNA Staffing Hours per Resident per Day
2.46980
Expected LPN Staffing Hours per Resident per Day
0.64348
Expected RN Staffing Hours per Resident per Day
1.10890
Expected Total Nurse Staffing Hours per Resident per Day
4.22218
Adjusted CNA Staffing Hours per Resident per Day
2.79246
Adjusted LPN Staffing Hours per Resident per Day
1.24939
Adjusted RN Staffing Hours per Resident per Day
0.53179
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36165
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-14
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
13.33300
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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