St Ann's Home For Aged - Jersey City Nursing Home
General Information
UPDATEFederal Provider Number
315413
Provider Name
ST ANN'S HOME FOR AGED
Provider Address
198 OLD BERGEN ROAD
JERSEY CITY, NJ 7305
JERSEY CITY, NJ 7305
Provider Phone Number
(201) 433-0950
Provider SSA County
230
Provider County Name
Hudson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. ANNS HOME FOR THE AGED CORP
Date First Approved to Provide Medicare and Medicaid services
1997-10-15
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
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.58547
Reported LPN Staffing Hours per Resident per Day
0.67521
Reported RN Staffing Hours per Resident per Day
0.88077
Reported Licensed Staffing Hours per Resident per Day
1.55598
Reported Total Nurse Staffing Hours per Resident per Day
4.14145
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09701
Expected CNA Staffing Hours per Resident per Day
2.43519
Expected LPN Staffing Hours per Resident per Day
0.56996
Expected RN Staffing Hours per Resident per Day
0.86722
Expected Total Nurse Staffing Hours per Resident per Day
3.87237
Adjusted CNA Staffing Hours per Resident per Day
2.60513
Adjusted LPN Staffing Hours per Resident per Day
0.98327
Adjusted RN Staffing Hours per Resident per Day
0.75887
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31100
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
56
Cycle 2 Standard Health Survey Date
2014-03-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-03-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
1
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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