Summit Ridge Center - West Orange Nursing Home
General Information
UPDATEFederal Provider Number
315038
Provider Name
SUMMIT RIDGE CENTER
Provider Address
20 SUMMIT STREET
WEST ORANGE, NJ 7052
WEST ORANGE, NJ 7052
Provider Phone Number
(973) 736-2000
Provider SSA County
200
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
152
Number of Residents in Certified Beds
146
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
20 SUMMIT STREET OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1973-07-01
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
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
2.05308
Reported LPN Staffing Hours per Resident per Day
0.59041
Reported RN Staffing Hours per Resident per Day
0.90000
Reported Licensed Staffing Hours per Resident per Day
1.49041
Reported Total Nurse Staffing Hours per Resident per Day
3.54349
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10856
Expected CNA Staffing Hours per Resident per Day
2.35297
Expected LPN Staffing Hours per Resident per Day
0.59227
Expected RN Staffing Hours per Resident per Day
0.97444
Expected Total Nurse Staffing Hours per Resident per Day
3.91968
Adjusted CNA Staffing Hours per Resident per Day
2.14097
Adjusted LPN Staffing Hours per Resident per Day
0.82739
Adjusted RN Staffing Hours per Resident per Day
0.69012
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64403
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
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
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-02-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-01-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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