St Marys Catholic Home - Cherry Hill Nursing Home
General Information
UPDATEFederal Provider Number
315060
Provider Name
ST MARYS CATHOLIC HOME
Provider Address
210 ST MARY'S DRIVE
CHERRY HILL, NJ 8003
CHERRY HILL, NJ 8003
Provider Phone Number
(856) 874-5300
Provider SSA County
160
Provider County Name
Camden
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
215
Number of Residents in Certified Beds
204
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. MARY'S NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1967-02-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
QM Rating Footnote
Staffing Rating
3
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
2.23750
Reported LPN Staffing Hours per Resident per Day
0.47696
Reported RN Staffing Hours per Resident per Day
0.63922
Reported Licensed Staffing Hours per Resident per Day
1.11618
Reported Total Nurse Staffing Hours per Resident per Day
3.35368
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05417
Expected CNA Staffing Hours per Resident per Day
2.41785
Expected LPN Staffing Hours per Resident per Day
0.54336
Expected RN Staffing Hours per Resident per Day
0.83412
Expected Total Nurse Staffing Hours per Resident per Day
3.79533
Adjusted CNA Staffing Hours per Resident per Day
2.27067
Adjusted LPN Staffing Hours per Resident per Day
0.72857
Adjusted RN Staffing Hours per Resident per Day
0.57261
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56183
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
2015-01-28
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
14
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-01-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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