Llanfair House Care & Rehabilitation Center - Wayne Nursing Home
General Information
UPDATEFederal Provider Number
315142
Provider Name
LLANFAIR HOUSE CARE & REHABILITATION CENTER
Provider Address
1140 BLACK OAK RIDGE ROAD
WAYNE, NJ 7470
WAYNE, NJ 7470
Provider Phone Number
(973) 835-7443
Provider SSA County
320
Provider County Name
Passaic
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
180
Number of Residents in Certified Beds
173
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LLANFAIR HOUSE CARE & REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1973-11-27
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
5
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
1.85896
Reported LPN Staffing Hours per Resident per Day
0.67514
Reported RN Staffing Hours per Resident per Day
0.80780
Reported Licensed Staffing Hours per Resident per Day
1.48295
Reported Total Nurse Staffing Hours per Resident per Day
3.34190
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11185
Expected CNA Staffing Hours per Resident per Day
2.41458
Expected LPN Staffing Hours per Resident per Day
0.61174
Expected RN Staffing Hours per Resident per Day
1.02425
Expected Total Nurse Staffing Hours per Resident per Day
4.05057
Adjusted CNA Staffing Hours per Resident per Day
1.88908
Adjusted LPN Staffing Hours per Resident per Day
0.91601
Adjusted RN Staffing Hours per Resident per Day
0.58930
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32567
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-10
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-04-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
0
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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