New Jersey Veterans Memorial Home Menlo - Edison Nursing Home
General Information
UPDATEFederal Provider Number
315459
Provider Name
NEW JERSEY VETERANS MEMORIAL HOME MENLO
Provider Address
132 EVERGREEN RD
EDISON, NJ 8818
EDISON, NJ 8818
Provider Phone Number
(732) 452-4100
Provider SSA County
270
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
328
Number of Residents in Certified Beds
305
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
NEW JERSEY VETERANS MEMORIAL HOME MENLO PARK
Date First Approved to Provide Medicare and Medicaid services
1999-10-26
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.79492
Reported LPN Staffing Hours per Resident per Day
0.74115
Reported RN Staffing Hours per Resident per Day
0.89918
Reported Licensed Staffing Hours per Resident per Day
1.64033
Reported Total Nurse Staffing Hours per Resident per Day
4.43525
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03754
Expected CNA Staffing Hours per Resident per Day
2.14011
Expected LPN Staffing Hours per Resident per Day
0.58056
Expected RN Staffing Hours per Resident per Day
0.86885
Expected Total Nurse Staffing Hours per Resident per Day
3.58952
Adjusted CNA Staffing Hours per Resident per Day
3.20445
Adjusted LPN Staffing Hours per Resident per Day
1.05958
Adjusted RN Staffing Hours per Resident per Day
0.77328
Adjusted Total Nurse Staffing Hours per Resident per Day
4.98062
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
44
Cycle 1 Standard Survey Health Date
2014-08-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
17518
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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