Phillipsburg Center - Phillipsburg Nursing Home
General Information
UPDATEFederal Provider Number
315311
Provider Name
PHILLIPSBURG CENTER
Provider Address
843 WILBUR AVENUE
PHILLIPSBURG, NJ 8865
PHILLIPSBURG, NJ 8865
Provider Phone Number
(908) 454-2627
Provider SSA County
390
Provider County Name
Warren
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
843 WILBUR AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.13500
Reported LPN Staffing Hours per Resident per Day
0.41583
Reported RN Staffing Hours per Resident per Day
0.73417
Reported Licensed Staffing Hours per Resident per Day
1.15000
Reported Total Nurse Staffing Hours per Resident per Day
3.28500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09167
Expected CNA Staffing Hours per Resident per Day
2.54515
Expected LPN Staffing Hours per Resident per Day
0.66896
Expected RN Staffing Hours per Resident per Day
1.05397
Expected Total Nurse Staffing Hours per Resident per Day
4.26809
Adjusted CNA Staffing Hours per Resident per Day
2.05828
Adjusted LPN Staffing Hours per Resident per Day
0.51593
Adjusted RN Staffing Hours per Resident per Day
0.52048
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10244
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-04-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-02-25
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
24.66700
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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