West Caldwell Cc - West Caldwell Nursing Home
General Information
UPDATEFederal Provider Number
315247
Provider Name
WEST CALDWELL CC
Provider Address
165 FAIRFIELD AVE
WEST CALDWELL, NJ 7006
WEST CALDWELL, NJ 7006
Provider Phone Number
9732261100
Provider SSA County
200
Provider County Name
Essex
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
148
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EAGLE ROCK CONVALESCENT CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1987-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.16047
Reported LPN Staffing Hours per Resident per Day
0.56993
Reported RN Staffing Hours per Resident per Day
0.90270
Reported Licensed Staffing Hours per Resident per Day
1.47264
Reported Total Nurse Staffing Hours per Resident per Day
3.63310
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15811
Expected CNA Staffing Hours per Resident per Day
2.56519
Expected LPN Staffing Hours per Resident per Day
0.60786
Expected RN Staffing Hours per Resident per Day
0.93342
Expected Total Nurse Staffing Hours per Resident per Day
4.10647
Adjusted CNA Staffing Hours per Resident per Day
2.06657
Adjusted LPN Staffing Hours per Resident per Day
0.77821
Adjusted RN Staffing Hours per Resident per Day
0.72261
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56624
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-12-10
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-12-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
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
Nursiong Homes Nearby
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