Masonic Home Of New Jersey - Burlington Nursing Home
General Information
UPDATEFederal Provider Number
315166
Provider Name
MASONIC HOME OF NEW JERSEY
Provider Address
902 JACKSONVILLE ROAD
BURLINGTON, NJ 8016
BURLINGTON, NJ 8016
Provider Phone Number
(609) 239-3900
Provider SSA County
150
Provider County Name
Burlington
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
264
Number of Residents in Certified Beds
239
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MASONIC CHARITY FOUNDATION OF NEW JERSEY
Date First Approved to Provide Medicare and Medicaid services
1976-11-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.16130
Reported LPN Staffing Hours per Resident per Day
0.77657
Reported RN Staffing Hours per Resident per Day
0.83159
Reported Licensed Staffing Hours per Resident per Day
1.60816
Reported Total Nurse Staffing Hours per Resident per Day
3.76946
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06841
Expected CNA Staffing Hours per Resident per Day
2.31330
Expected LPN Staffing Hours per Resident per Day
0.61401
Expected RN Staffing Hours per Resident per Day
0.94850
Expected Total Nurse Staffing Hours per Resident per Day
3.87581
Adjusted CNA Staffing Hours per Resident per Day
2.29248
Adjusted LPN Staffing Hours per Resident per Day
1.04974
Adjusted RN Staffing Hours per Resident per Day
0.65510
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92030
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
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
16
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
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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