Mystic Meadows Rehab & Nursing Center - Little Egg Harbor Tw Nursing Home
General Information
UPDATEFederal Provider Number
315456
Provider Name
MYSTIC MEADOWS REHAB & NURSING CENTER
Provider Address
151 NINTH AVENUE
LITTLE EGG HARBOR TW, NJ 8087
LITTLE EGG HARBOR TW, NJ 8087
Provider Phone Number
(609) 294-3200
Provider SSA County
310
Provider County Name
Ocean
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HARBOR CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1999-09-02
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01020
Reported LPN Staffing Hours per Resident per Day
0.70765
Reported RN Staffing Hours per Resident per Day
0.63418
Reported Licensed Staffing Hours per Resident per Day
1.34184
Reported Total Nurse Staffing Hours per Resident per Day
3.35203
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14235
Expected CNA Staffing Hours per Resident per Day
2.38939
Expected LPN Staffing Hours per Resident per Day
0.66421
Expected RN Staffing Hours per Resident per Day
1.02101
Expected Total Nurse Staffing Hours per Resident per Day
4.07461
Adjusted CNA Staffing Hours per Resident per Day
2.06430
Adjusted LPN Staffing Hours per Resident per Day
0.88429
Adjusted RN Staffing Hours per Resident per Day
0.46411
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31607
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-16
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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Nursiong Homes Nearby
Seacrest Village
1001 Center St |
LITTLE EGG HARBOR TW NJ 8087 | 3.4 miles away