Hoboken University Medical Center Tcu - Hoboken Nursing Home
General Information
UPDATEFederal Provider Number
315512
Provider Name
HOBOKEN UNIVERSITY MEDICAL CENTER TCU
Provider Address
308 WILLOW AVENUE
HOBOKEN, NJ 7030
HOBOKEN, NJ 7030
Provider Phone Number
(201) 418-1000
Provider SSA County
230
Provider County Name
Hudson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
15
Number of Residents in Certified Beds
12
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2012-10-23
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.76250
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
4.71250
Reported Licensed Staffing Hours per Resident per Day
4.71250
Reported Total Nurse Staffing Hours per Resident per Day
6.47500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.95417
Expected CNA Staffing Hours per Resident per Day
2.45108
Expected LPN Staffing Hours per Resident per Day
1.04462
Expected RN Staffing Hours per Resident per Day
2.77688
Expected Total Nurse Staffing Hours per Resident per Day
6.27258
Adjusted CNA Staffing Hours per Resident per Day
1.76438
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.26803
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16098
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
8
Cycle 1 Standard Survey Health Date
2015-03-04
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-05-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-06-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
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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