Pine Acres Convalescent Center - Madison Nursing Home
General Information
UPDATEFederal Provider Number
315053
Provider Name
PINE ACRES CONVALESCENT CENTER
Provider Address
51 MADISON AVE
MADISON, NJ 7940
MADISON, NJ 7940
Provider Phone Number
9733772124
Provider SSA County
300
Provider County Name
Morris
Ownership Type
For profit - Partnership
Number of Certified Beds
102
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HALLMARK HEALTHCARE LIMITED LIABILITY COMPANY
Date First Approved to Provide Medicare and Medicaid services
1968-05-15
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
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
2.50064
Reported LPN Staffing Hours per Resident per Day
1.12308
Reported RN Staffing Hours per Resident per Day
0.82949
Reported Licensed Staffing Hours per Resident per Day
1.95256
Reported Total Nurse Staffing Hours per Resident per Day
4.45321
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08333
Expected CNA Staffing Hours per Resident per Day
2.46339
Expected LPN Staffing Hours per Resident per Day
0.71680
Expected RN Staffing Hours per Resident per Day
1.21473
Expected Total Nurse Staffing Hours per Resident per Day
4.39492
Adjusted CNA Staffing Hours per Resident per Day
2.49081
Adjusted LPN Staffing Hours per Resident per Day
1.30044
Adjusted RN Staffing Hours per Resident per Day
0.51023
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08436
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
211
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
211
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-07-03
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
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
130.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
13
Number of Fines
3
Total Amount of Fines in Dollars
13488
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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