Inspira Transitional Care Unit Woodbury - Woodbury Nursing Home

General Information

UPDATE
Federal Provider Number
315446
Provider Name
INSPIRA TRANSITIONAL CARE UNIT WOODBURY
Provider Address
509 N BROAD STREET
WOODBURY, NJ 8096
Provider Phone Number
8568532195
Provider SSA County
220
Provider County Name
Gloucester
Ownership Type
Non profit - Corporation
Number of Certified Beds
17
Number of Residents in Certified Beds
14
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
UNDERWOOD-MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1998-08-13
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
3
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
1.55000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
4.16429
Reported Licensed Staffing Hours per Resident per Day
4.16429
Reported Total Nurse Staffing Hours per Resident per Day
5.71429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.46786
Expected CNA Staffing Hours per Resident per Day
2.58975
Expected LPN Staffing Hours per Resident per Day
0.81153
Expected RN Staffing Hours per Resident per Day
2.17372
Expected Total Nurse Staffing Hours per Resident per Day
5.57500
Adjusted CNA Staffing Hours per Resident per Day
1.46857
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.43145
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13161
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-30
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2013-04-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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