Margaret Anna Cusack Care Center - Jersey City Nursing Home
General Information
UPDATEFederal Provider Number
315452
Provider Name
MARGARET ANNA CUSACK CARE CENTER
Provider Address
537 PAVONIA AVENUE
JERSEY CITY, NJ 7306
JERSEY CITY, NJ 7306
Provider Phone Number
(201) 653-8300
Provider SSA County
230
Provider County Name
Hudson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
139
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARGARET ANNA CUSACK CARE CENTER,INC
Date First Approved to Provide Medicare and Medicaid services
1997-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.62634
Reported LPN Staffing Hours per Resident per Day
0.46107
Reported RN Staffing Hours per Resident per Day
0.88511
Reported Licensed Staffing Hours per Resident per Day
1.34618
Reported Total Nurse Staffing Hours per Resident per Day
3.97252
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07977
Expected CNA Staffing Hours per Resident per Day
2.54470
Expected LPN Staffing Hours per Resident per Day
0.68406
Expected RN Staffing Hours per Resident per Day
1.09743
Expected Total Nurse Staffing Hours per Resident per Day
4.32619
Adjusted CNA Staffing Hours per Resident per Day
2.53242
Adjusted LPN Staffing Hours per Resident per Day
0.55944
Adjusted RN Staffing Hours per Resident per Day
0.60264
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70137
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
16
Cycle 1 Standard Survey Health Date
2015-02-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-01-28
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
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-02-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
19.33300
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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