Little Brook Nursing And Convalescent Home - Califon Nursing Home
General Information
UPDATEFederal Provider Number
315467
Provider Name
LITTLE BROOK NURSING AND CONVALESCENT HOME
Provider Address
78 SLIKER ROAD
CALIFON, NJ 7830
CALIFON, NJ 7830
Provider Phone Number
(908) 832-2220
Provider SSA County
250
Provider County Name
Hunterdon
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
36
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LITTLE BROOK HOME, INC
Date First Approved to Provide Medicare and Medicaid services
2001-02-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.23621
Reported LPN Staffing Hours per Resident per Day
1.03276
Reported RN Staffing Hours per Resident per Day
0.42069
Reported Licensed Staffing Hours per Resident per Day
1.45345
Reported Total Nurse Staffing Hours per Resident per Day
3.68966
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03966
Expected CNA Staffing Hours per Resident per Day
2.68388
Expected LPN Staffing Hours per Resident per Day
0.56531
Expected RN Staffing Hours per Resident per Day
0.74407
Expected Total Nurse Staffing Hours per Resident per Day
3.99326
Adjusted CNA Staffing Hours per Resident per Day
2.04442
Adjusted LPN Staffing Hours per Resident per Day
1.51633
Adjusted RN Staffing Hours per Resident per Day
0.42246
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72443
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
2015-04-01
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-04-04
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
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
32
Total Weighted Health Survey Score
12.00000
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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