Mount Laurel Center For Rehab And Healthcare - Mount Laurel Nursing Home
General Information
UPDATEFederal Provider Number
315032
Provider Name
MOUNT LAUREL CENTER FOR REHAB AND HEALTHCARE
Provider Address
3718 CHURCH ROAD
MOUNT LAUREL, NJ 8054
MOUNT LAUREL, NJ 8054
Provider Phone Number
8562357100
Provider SSA County
150
Provider County Name
Burlington
Ownership Type
For profit - Partnership
Number of Certified Beds
220
Number of Residents in Certified Beds
182
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
INNOVA BURLINGTON CHURCH OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1974-01-01
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
2
QM Rating Footnote
Staffing Rating
2
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
2.63187
Reported LPN Staffing Hours per Resident per Day
1.44341
Reported RN Staffing Hours per Resident per Day
0.44121
Reported Licensed Staffing Hours per Resident per Day
1.88462
Reported Total Nurse Staffing Hours per Resident per Day
4.51649
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09945
Expected CNA Staffing Hours per Resident per Day
2.44989
Expected LPN Staffing Hours per Resident per Day
0.72531
Expected RN Staffing Hours per Resident per Day
1.32056
Expected Total Nurse Staffing Hours per Resident per Day
4.49576
Adjusted CNA Staffing Hours per Resident per Day
2.63596
Adjusted LPN Staffing Hours per Resident per Day
1.65176
Adjusted RN Staffing Hours per Resident per Day
0.24965
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04949
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
136
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
136
Total Weighted Health Survey Score
77.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
7
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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