Manor, The - Freehold Nursing Home
General Information
UPDATEFederal Provider Number
315153
Provider Name
MANOR, THE
Provider Address
689 WEST MAIN ST
FREEHOLD, NJ 7728
FREEHOLD, NJ 7728
Provider Phone Number
(732) 431-5200
Provider SSA County
290
Provider County Name
Monmouth
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEALTH AFFILIATES, INC.
Date First Approved to Provide Medicare and Medicaid services
1974-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
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
2.14492
Reported LPN Staffing Hours per Resident per Day
0.81017
Reported RN Staffing Hours per Resident per Day
1.01864
Reported Licensed Staffing Hours per Resident per Day
1.82881
Reported Total Nurse Staffing Hours per Resident per Day
3.97373
Reported Physical Therapist Staffing Hours per Resident Per Day
0.47246
Expected CNA Staffing Hours per Resident per Day
2.55920
Expected LPN Staffing Hours per Resident per Day
0.66063
Expected RN Staffing Hours per Resident per Day
1.09553
Expected Total Nurse Staffing Hours per Resident per Day
4.31536
Adjusted CNA Staffing Hours per Resident per Day
2.05650
Adjusted LPN Staffing Hours per Resident per Day
1.01788
Adjusted RN Staffing Hours per Resident per Day
0.69475
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71179
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
2014-07-29
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-07-24
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
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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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