St Joseph's Home Al & Nc, Inc - Woodbridge Nursing Home
General Information
UPDATEFederal Provider Number
315318
Provider Name
ST JOSEPH'S HOME AL & NC, INC
Provider Address
1-3 ST JOSEPH'S TERRACE
WOODBRIDGE, NJ 7095
WOODBRIDGE, NJ 7095
Provider Phone Number
7327500077
Provider SSA County
270
Provider County Name
Middlesex
Ownership Type
Non profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LITTLE SERVANT SISTERS - ST. JOSEPH'S HOME ASSISTED LIVING AND NURSING
Date First Approved to Provide Medicare and Medicaid services
1992-11-17
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
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
3.06000
Reported LPN Staffing Hours per Resident per Day
0.54000
Reported RN Staffing Hours per Resident per Day
1.01400
Reported Licensed Staffing Hours per Resident per Day
1.55400
Reported Total Nurse Staffing Hours per Resident per Day
4.61400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07100
Expected CNA Staffing Hours per Resident per Day
2.83731
Expected LPN Staffing Hours per Resident per Day
0.64652
Expected RN Staffing Hours per Resident per Day
0.84723
Expected Total Nurse Staffing Hours per Resident per Day
4.33106
Adjusted CNA Staffing Hours per Resident per Day
2.64629
Adjusted LPN Staffing Hours per Resident per Day
0.69325
Adjusted RN Staffing Hours per Resident per Day
0.89428
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29423
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2014-05-30
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
2013-05-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
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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