Victoria Manor - North Cape May Nursing Home
General Information
UPDATEFederal Provider Number
315508
Provider Name
VICTORIA MANOR
Provider Address
3809 BAYSHORE ROAD
NORTH CAPE MAY, NJ 8204
NORTH CAPE MAY, NJ 8204
Provider Phone Number
(609) 898-0677
Provider SSA County
180
Provider County Name
Cape May
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOOSIER CARE INC
Date First Approved to Provide Medicare and Medicaid services
2011-05-03
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.10841
Reported LPN Staffing Hours per Resident per Day
0.57522
Reported RN Staffing Hours per Resident per Day
0.58673
Reported Licensed Staffing Hours per Resident per Day
1.16195
Reported Total Nurse Staffing Hours per Resident per Day
3.27036
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06150
Expected CNA Staffing Hours per Resident per Day
2.40200
Expected LPN Staffing Hours per Resident per Day
0.62304
Expected RN Staffing Hours per Resident per Day
0.96960
Expected Total Nurse Staffing Hours per Resident per Day
3.99465
Adjusted CNA Staffing Hours per Resident per Day
2.15379
Adjusted LPN Staffing Hours per Resident per Day
0.76630
Adjusted RN Staffing Hours per Resident per Day
0.45215
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30004
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-11-14
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-01
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
16
Cycle 3 Standard Health Survey Date
2012-08-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
8.66700
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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