Health Center At Bloomingdale - Bloomingdale Nursing Home
General Information
UPDATEFederal Provider Number
315348
Provider Name
HEALTH CENTER AT BLOOMINGDALE
Provider Address
255 UNION AVE
BLOOMINGDALE, NJ 7403
BLOOMINGDALE, NJ 7403
Provider Phone Number
(973) 283-1700
Provider SSA County
320
Provider County Name
Passaic
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BLOOMINGDALE NURSING & REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid services
1996-01-25
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
2
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
2.09643
Reported LPN Staffing Hours per Resident per Day
0.61607
Reported RN Staffing Hours per Resident per Day
0.72455
Reported Licensed Staffing Hours per Resident per Day
1.34063
Reported Total Nurse Staffing Hours per Resident per Day
3.43705
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08259
Expected CNA Staffing Hours per Resident per Day
2.40178
Expected LPN Staffing Hours per Resident per Day
0.62871
Expected RN Staffing Hours per Resident per Day
1.09771
Expected Total Nurse Staffing Hours per Resident per Day
4.12819
Adjusted CNA Staffing Hours per Resident per Day
2.14175
Adjusted LPN Staffing Hours per Resident per Day
0.81332
Adjusted RN Staffing Hours per Resident per Day
0.49320
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35604
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-12
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-17
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
1
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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