Jfk Hartwyck At Cedar Brook - Plainfield Nursing Home
General Information
UPDATEFederal Provider Number
315101
Provider Name
JFK HARTWYCK AT CEDAR BROOK
Provider Address
1340 PARK AVE
PLAINFIELD, NJ 7060
PLAINFIELD, NJ 7060
Provider Phone Number
9087543100
Provider SSA County
370
Provider County Name
Union
Ownership Type
Non profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HARTWYCK WEST NURSING HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1976-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.11900
Reported LPN Staffing Hours per Resident per Day
0.59500
Reported RN Staffing Hours per Resident per Day
0.96700
Reported Licensed Staffing Hours per Resident per Day
1.56200
Reported Total Nurse Staffing Hours per Resident per Day
3.68100
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06300
Expected CNA Staffing Hours per Resident per Day
2.28204
Expected LPN Staffing Hours per Resident per Day
0.62285
Expected RN Staffing Hours per Resident per Day
0.89876
Expected Total Nurse Staffing Hours per Resident per Day
3.80364
Adjusted CNA Staffing Hours per Resident per Day
2.27840
Adjusted LPN Staffing Hours per Resident per Day
0.79289
Adjusted RN Staffing Hours per Resident per Day
0.80394
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90093
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-04-23
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
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-06-27
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
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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