Green Knoll Center - Bridgewater Nursing Home
General Information
UPDATEFederal Provider Number
315134
Provider Name
GREEN KNOLL CENTER
Provider Address
875 ROUTE 202-206 NORTH
BRIDGEWATER, NJ 8807
BRIDGEWATER, NJ 8807
Provider Phone Number
(908) 526-8600
Provider SSA County
350
Provider County Name
Somerset
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
176
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HHCI LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1972-02-20
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.00898
Reported LPN Staffing Hours per Resident per Day
0.86797
Reported RN Staffing Hours per Resident per Day
0.64609
Reported Licensed Staffing Hours per Resident per Day
1.51406
Reported Total Nurse Staffing Hours per Resident per Day
3.52304
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08203
Expected CNA Staffing Hours per Resident per Day
2.35081
Expected LPN Staffing Hours per Resident per Day
0.61465
Expected RN Staffing Hours per Resident per Day
0.95726
Expected Total Nurse Staffing Hours per Resident per Day
3.92272
Adjusted CNA Staffing Hours per Resident per Day
2.09691
Adjusted LPN Staffing Hours per Resident per Day
1.17208
Adjusted RN Staffing Hours per Resident per Day
0.50431
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62020
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-18
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
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
2013-09-24
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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