Mainland Manor Nrs & Rehab Ctr - Pleasantville Nursing Home
General Information
UPDATEFederal Provider Number
315212
Provider Name
MAINLAND MANOR NRS & REHAB CTR
Provider Address
930 CHURCH STREET
PLEASANTVILLE, NJ 8232
PLEASANTVILLE, NJ 8232
Provider Phone Number
(609) 646-6900
Provider SSA County
0
Provider County Name
Atlantic
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
140
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREEN WOOD ASSOCIATES MAINLAND MANOR
Date First Approved to Provide Medicare and Medicaid services
1984-11-29
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.59794
Reported LPN Staffing Hours per Resident per Day
1.11186
Reported RN Staffing Hours per Resident per Day
0.84536
Reported Licensed Staffing Hours per Resident per Day
1.95722
Reported Total Nurse Staffing Hours per Resident per Day
4.55516
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11804
Expected CNA Staffing Hours per Resident per Day
2.38920
Expected LPN Staffing Hours per Resident per Day
0.72131
Expected RN Staffing Hours per Resident per Day
1.13255
Expected Total Nurse Staffing Hours per Resident per Day
4.24306
Adjusted CNA Staffing Hours per Resident per Day
2.66807
Adjusted LPN Staffing Hours per Resident per Day
1.27941
Adjusted RN Staffing Hours per Resident per Day
0.55773
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32740
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-09
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-06-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
173
Cycle 3 Standard Health Survey Date
2012-04-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
173
Total Weighted Health Survey Score
64.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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