Roosevelt Care Center - Edison Nursing Home
General Information
UPDATEFederal Provider Number
315039
Provider Name
ROOSEVELT CARE CENTER
Provider Address
118 PARSONAGE ROAD
EDISON, NJ 8837
EDISON, NJ 8837
Provider Phone Number
(732) 321-6800
Provider SSA County
270
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
356
Number of Residents in Certified Beds
184
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
Partial
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.79511
Reported LPN Staffing Hours per Resident per Day
0.93179
Reported RN Staffing Hours per Resident per Day
0.62092
Reported Licensed Staffing Hours per Resident per Day
1.55272
Reported Total Nurse Staffing Hours per Resident per Day
4.34782
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10870
Expected CNA Staffing Hours per Resident per Day
2.37703
Expected LPN Staffing Hours per Resident per Day
0.60101
Expected RN Staffing Hours per Resident per Day
0.92747
Expected Total Nurse Staffing Hours per Resident per Day
3.90552
Adjusted CNA Staffing Hours per Resident per Day
2.88526
Adjusted LPN Staffing Hours per Resident per Day
1.28680
Adjusted RN Staffing Hours per Resident per Day
0.50023
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48740
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
16
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
36
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
29998
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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