St Catherine Of Siena - Caldwell Nursing Home

General Information

UPDATE
Federal Provider Number
315471
Provider Name
ST CATHERINE OF SIENA
Provider Address
7 RYERSON AVENUE
CALDWELL, NJ 7006
Provider Phone Number
9732261577
Provider SSA County
200
Provider County Name
Essex
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST CATHERINE OF SIENA, INC
Date First Approved to Provide Medicare and Medicaid services
2001-09-14
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
3.55000
Reported LPN Staffing Hours per Resident per Day
0.25577
Reported RN Staffing Hours per Resident per Day
1.39038
Reported Licensed Staffing Hours per Resident per Day
1.64615
Reported Total Nurse Staffing Hours per Resident per Day
5.19615
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.23843
Expected LPN Staffing Hours per Resident per Day
0.59731
Expected RN Staffing Hours per Resident per Day
0.90582
Expected Total Nurse Staffing Hours per Resident per Day
3.74157
Adjusted CNA Staffing Hours per Resident per Day
3.89140
Adjusted LPN Staffing Hours per Resident per Day
0.35541
Adjusted RN Staffing Hours per Resident per Day
1.14691
Adjusted Total Nurse Staffing Hours per Resident per Day
5.59797
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
12
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2014-04-23
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-04-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
6.00000
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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