Job Haines Home For Aged Peopl - Bloomfield Nursing Home
General Information
UPDATEFederal Provider Number
315392
Provider Name
JOB HAINES HOME FOR AGED PEOPL
Provider Address
250 BLOOMFIELD AVE
BLOOMFIELD, NJ 7003
BLOOMFIELD, NJ 7003
Provider Phone Number
9737430792
Provider SSA County
200
Provider County Name
Essex
Ownership Type
Non profit - Other
Number of Certified Beds
40
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOB HAINES HOME FOR AGED PEOPLE
Date First Approved to Provide Medicare and Medicaid services
1997-12-01
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
3.19028
Reported LPN Staffing Hours per Resident per Day
0.98333
Reported RN Staffing Hours per Resident per Day
1.87222
Reported Licensed Staffing Hours per Resident per Day
2.85556
Reported Total Nurse Staffing Hours per Resident per Day
6.04583
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15139
Expected CNA Staffing Hours per Resident per Day
2.41106
Expected LPN Staffing Hours per Resident per Day
0.63358
Expected RN Staffing Hours per Resident per Day
1.09584
Expected Total Nurse Staffing Hours per Resident per Day
4.14048
Adjusted CNA Staffing Hours per Resident per Day
3.24670
Adjusted LPN Staffing Hours per Resident per Day
1.28818
Adjusted RN Staffing Hours per Resident per Day
1.27657
Adjusted Total Nurse Staffing Hours per Resident per Day
5.88582
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
4
Cycle 1 Standard Survey Health Date
2014-06-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-06-26
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
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
2012-04-11
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
16.66700
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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