South Mountain Hc - Vauxhall Nursing Home
General Information
UPDATEFederal Provider Number
315283
Provider Name
SOUTH MOUNTAIN HC
Provider Address
2385 SPRINGFIELD AVENUE
VAUXHALL, NJ 7088
VAUXHALL, NJ 7088
Provider Phone Number
(908) 688-3400
Provider SSA County
370
Provider County Name
Union
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
195
Number of Residents in Certified Beds
184
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH MOUNTAIN HEALTHCARE AND REHABILITATION CENTER
Date First Approved to Provide Medicare and Medicaid services
1989-08-03
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.28288
Reported LPN Staffing Hours per Resident per Day
0.54348
Reported RN Staffing Hours per Resident per Day
0.98614
Reported Licensed Staffing Hours per Resident per Day
1.52962
Reported Total Nurse Staffing Hours per Resident per Day
3.81250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12228
Expected CNA Staffing Hours per Resident per Day
2.39874
Expected LPN Staffing Hours per Resident per Day
0.66425
Expected RN Staffing Hours per Resident per Day
1.10430
Expected Total Nurse Staffing Hours per Resident per Day
4.16729
Adjusted CNA Staffing Hours per Resident per Day
2.33519
Adjusted LPN Staffing Hours per Resident per Day
0.67909
Adjusted RN Staffing Hours per Resident per Day
0.66725
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68772
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
2014-09-19
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
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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