Renaissance Pavilion - Pomona Nursing Home

General Information

UPDATE
Federal Provider Number
315495
Provider Name
RENAISSANCE PAVILION
Provider Address
61 W JIMMIE LEEDS ROAD
POMONA, NJ 8240
Provider Phone Number
(609) 652-7000
Provider SSA County
0
Provider County Name
Atlantic
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
29
Number of Residents in Certified Beds
29
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
BACHARACH INSTITUTE FOR REHABILITATION, INC.
Date First Approved to Provide Medicare and Medicaid services
2006-02-22
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.22069
Reported LPN Staffing Hours per Resident per Day
1.46724
Reported RN Staffing Hours per Resident per Day
1.69310
Reported Licensed Staffing Hours per Resident per Day
3.16034
Reported Total Nurse Staffing Hours per Resident per Day
5.38103
Reported Physical Therapist Staffing Hours per Resident Per Day
0.83276
Expected CNA Staffing Hours per Resident per Day
2.21706
Expected LPN Staffing Hours per Resident per Day
0.69265
Expected RN Staffing Hours per Resident per Day
1.55706
Expected Total Nurse Staffing Hours per Resident per Day
4.46678
Adjusted CNA Staffing Hours per Resident per Day
2.45772
Adjusted LPN Staffing Hours per Resident per Day
1.75818
Adjusted RN Staffing Hours per Resident per Day
0.81248
Adjusted Total Nurse Staffing Hours per Resident per Day
4.85594
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-12-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
1
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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