Manorcare Health Services-new Providence - New Providence Nursing Home
General Information
UPDATEFederal Provider Number
315005
Provider Name
MANORCARE HEALTH SERVICES-NEW PROVIDENCE
Provider Address
144 GALES DRIVE
NEW PROVIDENCE, NJ 7974
NEW PROVIDENCE, NJ 7974
Provider Phone Number
(908) 464-8600
Provider SSA County
370
Provider County Name
Union
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF NEW PROVIDENCE NJ LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.85852
Reported LPN Staffing Hours per Resident per Day
0.58920
Reported RN Staffing Hours per Resident per Day
1.09261
Reported Licensed Staffing Hours per Resident per Day
1.68182
Reported Total Nurse Staffing Hours per Resident per Day
3.54033
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17955
Expected CNA Staffing Hours per Resident per Day
2.47566
Expected LPN Staffing Hours per Resident per Day
0.61691
Expected RN Staffing Hours per Resident per Day
0.95582
Expected Total Nurse Staffing Hours per Resident per Day
4.04840
Adjusted CNA Staffing Hours per Resident per Day
1.84204
Adjusted LPN Staffing Hours per Resident per Day
0.79271
Adjusted RN Staffing Hours per Resident per Day
0.85413
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52503
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
258
Cycle 2 Standard Health Survey Date
2014-03-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
258
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-01-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
93.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
975
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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