Gates Manor - Montclair Nursing Home
General Information
UPDATEFederal Provider Number
315363
Provider Name
GATES MANOR
Provider Address
111-115 GATES AVENUE
MONTCLAIR, NJ 7042
MONTCLAIR, NJ 7042
Provider Phone Number
9737464616
Provider SSA County
200
Provider County Name
Essex
Ownership Type
For profit - Partnership
Number of Certified Beds
64
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GATES MANOR L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1996-12-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.55086
Reported LPN Staffing Hours per Resident per Day
0.47672
Reported RN Staffing Hours per Resident per Day
0.83966
Reported Licensed Staffing Hours per Resident per Day
1.31638
Reported Total Nurse Staffing Hours per Resident per Day
3.86724
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10345
Expected CNA Staffing Hours per Resident per Day
2.66310
Expected LPN Staffing Hours per Resident per Day
0.65485
Expected RN Staffing Hours per Resident per Day
0.88646
Expected Total Nurse Staffing Hours per Resident per Day
4.20442
Adjusted CNA Staffing Hours per Resident per Day
2.35028
Adjusted LPN Staffing Hours per Resident per Day
0.60422
Adjusted RN Staffing Hours per Resident per Day
0.70775
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70764
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
24
Cycle 3 Standard Health Survey Date
2012-09-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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