Reformed Church Home - Old Bridge Nursing Home
General Information
UPDATEFederal Provider Number
315417
Provider Name
REFORMED CHURCH HOME
Provider Address
1990 ROUTE 18 NORTH
OLD BRIDGE, NJ 8857
OLD BRIDGE, NJ 8857
Provider Phone Number
(732) 607-9230
Provider SSA County
270
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
108
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
REFORMED CHURCH HOUSE STAFF
Date First Approved to Provide Medicare and Medicaid services
1997-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.41971
Reported LPN Staffing Hours per Resident per Day
0.73750
Reported RN Staffing Hours per Resident per Day
1.03990
Reported Licensed Staffing Hours per Resident per Day
1.77740
Reported Total Nurse Staffing Hours per Resident per Day
4.19711
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08606
Expected CNA Staffing Hours per Resident per Day
2.39172
Expected LPN Staffing Hours per Resident per Day
0.57481
Expected RN Staffing Hours per Resident per Day
0.92321
Expected Total Nurse Staffing Hours per Resident per Day
3.88975
Adjusted CNA Staffing Hours per Resident per Day
2.48241
Adjusted LPN Staffing Hours per Resident per Day
1.06492
Adjusted RN Staffing Hours per Resident per Day
0.84164
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34941
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-09-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-12
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-07-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
3.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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