Lutheran Social Ministries Cra - West Caldwell Nursing Home
General Information
UPDATEFederal Provider Number
315457
Provider Name
LUTHERAN SOCIAL MINISTRIES CRA
Provider Address
459 PASSAIC AVENUE
WEST CALDWELL, NJ 7006
WEST CALDWELL, NJ 7006
Provider Phone Number
(973) 276-3018
Provider SSA County
200
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
66
Number of Residents in Certified Beds
58
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN SOCIAL MINISTRIES AT CRANE'S MILL, INC.
Date First Approved to Provide Medicare and Medicaid services
1999-06-30
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
3.07845
Reported LPN Staffing Hours per Resident per Day
0.89569
Reported RN Staffing Hours per Resident per Day
0.84828
Reported Licensed Staffing Hours per Resident per Day
1.74397
Reported Total Nurse Staffing Hours per Resident per Day
4.82242
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24655
Expected CNA Staffing Hours per Resident per Day
2.43156
Expected LPN Staffing Hours per Resident per Day
0.64042
Expected RN Staffing Hours per Resident per Day
1.18204
Expected Total Nurse Staffing Hours per Resident per Day
4.25401
Adjusted CNA Staffing Hours per Resident per Day
3.10648
Adjusted LPN Staffing Hours per Resident per Day
1.16084
Adjusted RN Staffing Hours per Resident per Day
0.53622
Adjusted Total Nurse Staffing Hours per Resident per Day
4.56950
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
22.66700
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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