Saint Anne Villa - Florham Park Nursing Home

General Information

UPDATE
Federal Provider Number
315480
Provider Name
SAINT ANNE VILLA
Provider Address
190 PARK AVENUE
FLORHAM PARK, NJ 7932
Provider Phone Number
9738671502
Provider SSA County
300
Provider County Name
Morris
Ownership Type
Non profit - Church related
Number of Certified Beds
80
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SISTERS OF CHARITY OF ST ELIZABETH- ST ANNE VILLA
Date First Approved to Provide Medicare and Medicaid services
2003-05-09
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.80362
Reported LPN Staffing Hours per Resident per Day
0.78333
Reported RN Staffing Hours per Resident per Day
1.04565
Reported Licensed Staffing Hours per Resident per Day
1.82899
Reported Total Nurse Staffing Hours per Resident per Day
4.63260
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08406
Expected CNA Staffing Hours per Resident per Day
2.03452
Expected LPN Staffing Hours per Resident per Day
0.52581
Expected RN Staffing Hours per Resident per Day
0.77455
Expected Total Nurse Staffing Hours per Resident per Day
3.33488
Adjusted CNA Staffing Hours per Resident per Day
3.38126
Adjusted LPN Staffing Hours per Resident per Day
1.23651
Adjusted RN Staffing Hours per Resident per Day
1.00873
Adjusted Total Nurse Staffing Hours per Resident per Day
5.59947
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
2015-03-12
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
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
2014-03-25
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
2.66700
Number of Facility Reported Incidents
0
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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