Pitman Manor - Pitman Nursing Home
General Information
UPDATEFederal Provider Number
315427
Provider Name
PITMAN MANOR
Provider Address
535 N OAK AVE
PITMAN, NJ 8071
PITMAN, NJ 8071
Provider Phone Number
(856) 589-7800
Provider SSA County
220
Provider County Name
Gloucester
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
72
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PITMAN MANOR INC
Date First Approved to Provide Medicare and Medicaid services
1997-12-01
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.13551
Reported LPN Staffing Hours per Resident per Day
0.53841
Reported RN Staffing Hours per Resident per Day
0.72899
Reported Licensed Staffing Hours per Resident per Day
1.26739
Reported Total Nurse Staffing Hours per Resident per Day
3.40291
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08261
Expected CNA Staffing Hours per Resident per Day
2.62851
Expected LPN Staffing Hours per Resident per Day
0.61664
Expected RN Staffing Hours per Resident per Day
0.90668
Expected Total Nurse Staffing Hours per Resident per Day
4.15183
Adjusted CNA Staffing Hours per Resident per Day
1.99349
Adjusted LPN Staffing Hours per Resident per Day
0.72470
Adjusted RN Staffing Hours per Resident per Day
0.60076
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30379
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-04-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-06-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
7931
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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