Van Dyk Manor Of Ridgewood - Ridgewood Nursing Home
General Information
UPDATEFederal Provider Number
315434
Provider Name
VAN DYK MANOR OF RIDGEWOOD
Provider Address
304 S. VAN DIEN AVE
RIDGEWOOD, NJ 7450
RIDGEWOOD, NJ 7450
Provider Phone Number
(201) 445-8200
Provider SSA County
100
Provider County Name
Bergen
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
94
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
VAN DYK HEALTH CARE INC
Date First Approved to Provide Medicare and Medicaid services
1998-05-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.72074
Reported LPN Staffing Hours per Resident per Day
0.54840
Reported RN Staffing Hours per Resident per Day
1.38351
Reported Licensed Staffing Hours per Resident per Day
1.93191
Reported Total Nurse Staffing Hours per Resident per Day
4.65265
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31543
Expected CNA Staffing Hours per Resident per Day
2.76192
Expected LPN Staffing Hours per Resident per Day
0.78011
Expected RN Staffing Hours per Resident per Day
1.45634
Expected Total Nurse Staffing Hours per Resident per Day
4.99837
Adjusted CNA Staffing Hours per Resident per Day
2.41712
Adjusted LPN Staffing Hours per Resident per Day
0.58347
Adjusted RN Staffing Hours per Resident per Day
0.70983
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75210
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
8.00000
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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