Jersey Shore Center - Eatontown Nursing Home
General Information
UPDATEFederal Provider Number
315364
Provider Name
JERSEY SHORE CENTER
Provider Address
3 INDUSTRIAL WAY EAST
EATONTOWN, NJ 7724
EATONTOWN, NJ 7724
Provider Phone Number
(732) 544-1557
Provider SSA County
290
Provider County Name
Monmouth
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
158
Number of Residents in Certified Beds
147
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
3 INDUSTRIAL WAY EAST OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1997-04-03
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.98401
Reported LPN Staffing Hours per Resident per Day
0.47177
Reported RN Staffing Hours per Resident per Day
1.04320
Reported Licensed Staffing Hours per Resident per Day
1.51497
Reported Total Nurse Staffing Hours per Resident per Day
3.49898
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12585
Expected CNA Staffing Hours per Resident per Day
2.46447
Expected LPN Staffing Hours per Resident per Day
0.63668
Expected RN Staffing Hours per Resident per Day
1.10995
Expected Total Nurse Staffing Hours per Resident per Day
4.21110
Adjusted CNA Staffing Hours per Resident per Day
1.97534
Adjusted LPN Staffing Hours per Resident per Day
0.61501
Adjusted RN Staffing Hours per Resident per Day
0.70226
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34925
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-07-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
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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