Heath Village - Hackettstown Nursing Home
General Information
UPDATEFederal Provider Number
315072
Provider Name
HEATH VILLAGE
Provider Address
430 SCHOOLEY'S MOUNTAIN RD
HACKETTSTOWN, NJ 7840
HACKETTSTOWN, NJ 7840
Provider Phone Number
(908) 852-4801
Provider SSA County
300
Provider County Name
Morris
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEATH VILLAGE INC
Date First Approved to Provide Medicare and Medicaid services
1967-07-31
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
2.70333
Reported LPN Staffing Hours per Resident per Day
0.76833
Reported RN Staffing Hours per Resident per Day
0.94667
Reported Licensed Staffing Hours per Resident per Day
1.71500
Reported Total Nurse Staffing Hours per Resident per Day
4.41833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18333
Expected CNA Staffing Hours per Resident per Day
2.67974
Expected LPN Staffing Hours per Resident per Day
0.66983
Expected RN Staffing Hours per Resident per Day
1.12178
Expected Total Nurse Staffing Hours per Resident per Day
4.47134
Adjusted CNA Staffing Hours per Resident per Day
2.47530
Adjusted LPN Staffing Hours per Resident per Day
0.95206
Adjusted RN Staffing Hours per Resident per Day
0.63056
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98311
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
8938
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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