Skilled Nursing At Fellowship Village - Basking Ridge Nursing Home
General Information
UPDATEFederal Provider Number
315356
Provider Name
SKILLED NURSING AT FELLOWSHIP VILLAGE
Provider Address
8000 FELLOWSHIP DRIVE
BASKING RIDGE, NJ 7920
BASKING RIDGE, NJ 7920
Provider Phone Number
(908) 580-3800
Provider SSA County
350
Provider County Name
Somerset
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
46
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
FELLOWSHIP SENIOR LIVING INC
Date First Approved to Provide Medicare and Medicaid services
1996-07-01
Continuing Care Retirement Community
Y
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
4
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
3.20435
Reported LPN Staffing Hours per Resident per Day
0.52174
Reported RN Staffing Hours per Resident per Day
1.85761
Reported Licensed Staffing Hours per Resident per Day
2.37935
Reported Total Nurse Staffing Hours per Resident per Day
5.58370
Reported Physical Therapist Staffing Hours per Resident Per Day
0.62717
Expected CNA Staffing Hours per Resident per Day
2.60165
Expected LPN Staffing Hours per Resident per Day
0.66748
Expected RN Staffing Hours per Resident per Day
1.13152
Expected Total Nurse Staffing Hours per Resident per Day
4.40065
Adjusted CNA Staffing Hours per Resident per Day
3.02213
Adjusted LPN Staffing Hours per Resident per Day
0.64878
Adjusted RN Staffing Hours per Resident per Day
1.22667
Adjusted Total Nurse Staffing Hours per Resident per Day
5.11455
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-04-14
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-04-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
4
Cycle 3 Standard Health Survey Date
2013-02-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
14.00000
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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