Tower Lodge Care Center - Wall Nursing Home
General Information
UPDATEFederal Provider Number
315069
Provider Name
TOWER LODGE CARE CENTER
Provider Address
1506 GULLY ROAD
WALL, NJ 7719
WALL, NJ 7719
Provider Phone Number
(732) 681-1400
Provider SSA County
290
Provider County Name
Monmouth
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TOWER LODGE CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-05-22
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.16226
Reported LPN Staffing Hours per Resident per Day
0.69245
Reported RN Staffing Hours per Resident per Day
0.68019
Reported Licensed Staffing Hours per Resident per Day
1.37264
Reported Total Nurse Staffing Hours per Resident per Day
3.53490
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10755
Expected CNA Staffing Hours per Resident per Day
2.43051
Expected LPN Staffing Hours per Resident per Day
0.57570
Expected RN Staffing Hours per Resident per Day
0.92303
Expected Total Nurse Staffing Hours per Resident per Day
3.92924
Adjusted CNA Staffing Hours per Resident per Day
2.18289
Adjusted LPN Staffing Hours per Resident per Day
0.99833
Adjusted RN Staffing Hours per Resident per Day
0.55062
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62636
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-29
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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