Summer Hill Nursing Home - Old Bridge Nursing Home
General Information
UPDATEFederal Provider Number
315381
Provider Name
SUMMER HILL NURSING HOME
Provider Address
111 ROUTE 516
OLD BRIDGE, NJ 8857
OLD BRIDGE, NJ 8857
Provider Phone Number
(732) 254-8200
Provider SSA County
270
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUMMER HILL NURSING & REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1997-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.07091
Reported LPN Staffing Hours per Resident per Day
0.69318
Reported RN Staffing Hours per Resident per Day
0.80545
Reported Licensed Staffing Hours per Resident per Day
1.49864
Reported Total Nurse Staffing Hours per Resident per Day
3.56954
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05909
Expected CNA Staffing Hours per Resident per Day
2.34459
Expected LPN Staffing Hours per Resident per Day
0.70040
Expected RN Staffing Hours per Resident per Day
1.11350
Expected Total Nurse Staffing Hours per Resident per Day
4.15849
Adjusted CNA Staffing Hours per Resident per Day
2.16728
Adjusted LPN Staffing Hours per Resident per Day
0.82144
Adjusted RN Staffing Hours per Resident per Day
0.54049
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46002
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
2015-03-16
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-04-30
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
2
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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