Roosevelt Care Center At Old Bridge - Old Bridge Nursing Home

General Information

UPDATE
Federal Provider Number
315509
Provider Name
ROOSEVELT CARE CENTER AT OLD BRIDGE
Provider Address
1133 MARLBORO ROAD
OLD BRIDGE, NJ 8857
Provider Phone Number
7323609830
Provider SSA County
270
Provider County Name
Middlesex
Ownership Type
Government - County
Number of Certified Beds
180
Number of Residents in Certified Beds
163
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIDDLESEX COUNTY IMPROVEMENT AUTHORITY
Date First Approved to Provide Medicare and Medicaid services
2012-03-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.53067
Reported LPN Staffing Hours per Resident per Day
0.73620
Reported RN Staffing Hours per Resident per Day
0.92883
Reported Licensed Staffing Hours per Resident per Day
1.66503
Reported Total Nurse Staffing Hours per Resident per Day
4.19570
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26288
Expected CNA Staffing Hours per Resident per Day
2.51350
Expected LPN Staffing Hours per Resident per Day
0.61188
Expected RN Staffing Hours per Resident per Day
0.97467
Expected Total Nurse Staffing Hours per Resident per Day
4.10005
Adjusted CNA Staffing Hours per Resident per Day
2.47046
Adjusted LPN Staffing Hours per Resident per Day
0.99864
Adjusted RN Staffing Hours per Resident per Day
0.71206
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12494
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-18
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-09-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-09-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
2
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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