Milford Manor - West Milford Nursing Home
General Information
UPDATEFederal Provider Number
315276
Provider Name
MILFORD MANOR
Provider Address
69 MAPLE ROAD
WEST MILFORD, NJ 7480
WEST MILFORD, NJ 7480
Provider Phone Number
9736975640
Provider SSA County
320
Provider County Name
Passaic
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MILFORD MANOR 69 MAPLE AVE INC
Date First Approved to Provide Medicare and Medicaid services
1989-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.99952
Reported LPN Staffing Hours per Resident per Day
0.69567
Reported RN Staffing Hours per Resident per Day
0.36442
Reported Licensed Staffing Hours per Resident per Day
1.06010
Reported Total Nurse Staffing Hours per Resident per Day
3.05961
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12019
Expected CNA Staffing Hours per Resident per Day
2.53665
Expected LPN Staffing Hours per Resident per Day
0.62077
Expected RN Staffing Hours per Resident per Day
0.96885
Expected Total Nurse Staffing Hours per Resident per Day
4.12627
Adjusted CNA Staffing Hours per Resident per Day
1.93414
Adjusted LPN Staffing Hours per Resident per Day
0.93014
Adjusted RN Staffing Hours per Resident per Day
0.28105
Adjusted Total Nurse Staffing Hours per Resident per Day
2.98889
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-14
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
16.66700
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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