Manorcare Health Services-west Deptford - West Deptford Nursing Home
General Information
UPDATEFederal Provider Number
315246
Provider Name
MANORCARE HEALTH SERVICES-WEST DEPTFORD
Provider Address
550 JESSUP ROAD
WEST DEPTFORD, NJ 8066
WEST DEPTFORD, NJ 8066
Provider Phone Number
(856) 848-9551
Provider SSA County
220
Provider County Name
Gloucester
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
156
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE-WEST DEPTFORD OF PAULSBORO NJ LLC
Date First Approved to Provide Medicare and Medicaid services
1987-06-30
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
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00078
Reported LPN Staffing Hours per Resident per Day
1.41133
Reported RN Staffing Hours per Resident per Day
0.57344
Reported Licensed Staffing Hours per Resident per Day
1.98477
Reported Total Nurse Staffing Hours per Resident per Day
3.98555
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25117
Expected CNA Staffing Hours per Resident per Day
2.40419
Expected LPN Staffing Hours per Resident per Day
0.65118
Expected RN Staffing Hours per Resident per Day
1.15921
Expected Total Nurse Staffing Hours per Resident per Day
4.21457
Adjusted CNA Staffing Hours per Resident per Day
2.04199
Adjusted LPN Staffing Hours per Resident per Day
1.79891
Adjusted RN Staffing Hours per Resident per Day
0.36963
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81186
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
2015-03-10
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
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
145
Cycle 2 Standard Health Survey Date
2014-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
145
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
53.00000
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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